Individual
STACI LYNN PALMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
Mailing address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
3588
CO
363AS0400X
Surgical Physician Assistant
0003588
CO
363AS0400X
Surgical Physician Assistant
Primary
PA9118855
FL
Other
Enumeration date
11/15/2012
Last updated
08/20/2024
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