Individual
TAD PALMER DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3683 S MIAMI AVE STE 460, MIAMI, FL 33133-4238
(305) 459-3377
Mailing address
3683 S MIAMI AVE STE 460, MIAMI, FL 33133-4238
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
54466
AZ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD.35418
AL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME162738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279012
—
AZ
Enumeration date
06/04/2012
Last updated
09/05/2023
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