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Organization
PALMER MEDICAL GROUP
Active
Organization
PALMER MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO ALBERTO RUIZ (PRESIDENT)
(786) 439-4116
Entity
Organization
Contact information
Practice address
4401 SW 75TH AVE, SUITE 3, MIAMI, FL 33155-4445
(305) 267-3399
(786) 362-5360
Mailing address
4401 SW 75TH AVE, SUITE 3, MIAMI, FL 33155-4445
(305) 267-3399
(786) 362-5360
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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