Individual
DR. KEVIN V PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11373 CORTEZ BLVD, SUITE 201, BROOKSVILLE, FL 34613-5414
(352) 596-7860
(352) 597-3657
Mailing address
14690 SPRING HILL DR, SUITE 100 ATTN:CREDENTIALING, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0070806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31269
BCBS
FL
05
—
379988300
—
FL
01
—
P00955956
RR MCR ATTACHED TO GRP# DR6927
FL
Enumeration date
02/24/2006
Last updated
03/01/2017
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