Organization
PALM MEDICAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO MOISES MARTIN (PRESIDENT OF CENTER OPERATIONS)
(305) 913-9441
Entity
Organization
Contact information
Practice address
6233 RIDGE RD, PORT RICHEY, FL 34668-6743
(727) 845-3333
(727) 845-3308
Mailing address
6233 RIDGE RD, PORT RICHEY, FL 34668-6743
(727) 845-3333
(727) 845-3308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269792100
—
FL
Enumeration date
07/26/2022
Last updated
07/26/2022
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