Organization
PALMER MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA A. LILLARD (OWNER/MANAGER)
(850) 784-0070
Entity
Organization
Contact information
Practice address
2686 CHAPMAN DRIVE, PANAMA CITY, FL 32405
(850) 784-0070
(850) 784-2800
Mailing address
2686 CHAPMAN DRIVE, PANAMA CITY, FL 32405
(850) 784-0070
(850) 784-2800
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
—
—
225000000X
Orthotic Fitter
—
—
227900000X
Registered Respiratory Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022583500
—
FL
01
—
R8213
BLUE CROSS BLUE SHIELD OF
FL
Enumeration date
10/18/2006
Last updated
01/13/2014
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