Organization
WINTER HAVEN INTENSIVE CARE CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT C PALMIRE M.D. (OWNER)
(352) 867-8311
Entity
Organization
Contact information
Practice address
200 AVENUE F NE, ATTN: CHERYL PETTITT, WINTER HAVEN, FL 33881-4131
(352) 867-8311
(352) 867-1053
Mailing address
1511 SW 1ST AVE, OCALA, FL 34474-4005
(352) 867-8311
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME97772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33551
BCBS OF FLORIDA
FL
Enumeration date
05/03/2007
Last updated
10/15/2007
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