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Organization
PALM FAMILY HEALTH LLC
Active
Organization
PALM FAMILY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANGELA MCCARTHY APRN (OWNER/NURSE PRACTITIONER)
(321) 610-1017
Entity
Organization
Contact information
Practice address
1600 SARNO RD STE 21, MELBOURNE, FL 32935-4992
(321) 610-1017
(321) 610-7449
Mailing address
1600 SARNO RD STE 21, MELBOURNE, FL 32935-4992
(321) 610-1017
(321) 610-7449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP776
MEDICARE PTAN
FL
Enumeration date
03/11/2021
Last updated
08/02/2022
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