Individual
MICHAEL P DEPALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9981 S HEALTHPARK DR # 156, FORT MYERS, FL 33908-3618
(239) 343-6341
(239) 343-6342
Mailing address
P. O. BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6341
(239) 343-6342
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA0001932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290082300
—
FL
01
—
P00229888
RAILROAD MEDICARE
—
Enumeration date
07/07/2006
Last updated
03/25/2021
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