Organization
PALMETTO BEHAVIORAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAH DENNIS BAXLEY MD (PRESIDENT)
(352) 368-2448
Entity
Organization
Contact information
Practice address
3002 SE 1ST AVE, SUITE 100, OCALA, FL 34471-0407
(352) 368-2448
Mailing address
3002 SE 1ST AVE, SUITE 100, OCALA, FL 34471-0407
(352) 368-2448
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME100494
FL
2084P0805X
Geriatric Psychiatry Physician
ME100494
FL
Other
Enumeration date
04/10/2008
Last updated
10/01/2014
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