Individual
CARMINE VINCENT PALERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 AVE MARIA BLVD, AVE MARIA, FL 34142-9505
(239) 304-7865
Mailing address
14447 METRO PKWY UNIT 206, FORT MYERS, FL 33912-4473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5278
FL
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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