Individual
DR. LAURA A PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 469-7406
Mailing address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 469-7406
(850) 469-7406
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME71550
FL
207Q00000X
Family Medicine Physician
ME 71550
FL
208M00000X
Hospitalist Physician
Primary
ME71550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268556600
—
FL
01
—
37368
BCBS
FL
Enumeration date
11/09/2005
Last updated
07/13/2011
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