Individual
MR. SAMUEL COPELAND PALMER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1220 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-8852
(904) 490-8700
(904) 490-9810
Mailing address
1220 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-8852
(904) 490-8700
(904) 490-9810
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
308308
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
9485401
FL
363LA2200X
Adult Health Nurse Practitioner
LP-0000214
DE
363LA2200X
Adult Health Nurse Practitioner
SP017792
PA
Other
Enumeration date
07/02/2013
Last updated
12/01/2022
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