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Organization
PALM MEDICAL, LLC
Active
Organization
PALM MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR FELICETTI (OWNER)
(212) 297-2000
Entity
Organization
Contact information
Practice address
777 E 25TH ST STE 306, HIALEAH, FL 33013-3849
(305) 760-9760
Mailing address
777 E 25TH ST STE 306, HIALEAH, FL 33013-3849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC12013
AHCA
FL
Enumeration date
02/11/2020
Last updated
02/11/2020
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