Organization
PALM ORTHOPEDICS & PHYSICAL MEDICINE LLC
Active
Organization
PALM ORTHOPEDICS & PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JENSEN D.C. (MGR)
(772) 345-3933
Entity
Organization
Contact information
Practice address
10801 SW TRADITION SQ, PORT SAINT LUCIE, FL 34987-1934
(772) 345-3933
Mailing address
10521 SW VILLAGE CENTER DR STE 201A, PORT SAINT LUCIE, FL 34987-1930
(772) 345-2642
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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