Individual
MR. DOUGLAS WADE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 608-4780
Mailing address
200 VILLAGE GREEN AVE, SAINT JOHNS, FL 32259-7924
(904) 399-6096
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP 2059612
FL
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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