Individual
JORGE PALMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11645 BISCAYNE BLVD STE 102, MIAMI, FL 33181-3138
(305) 538-8835
(786) 574-5565
Mailing address
11645 BISCAYNE BLVD STE 102, MIAMI, FL 33181-3138
(305) 538-8835
(786) 574-5565
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
002545100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002545100
—
FL
Enumeration date
03/23/2017
Last updated
03/23/2017
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