| Palm Family Health Llc | |
|
1600 Sarno Rd Ste 21 Melbourne FL 32935-4992 | |
| (321) 610-1017 | |
| (321) 610-7449 |
| Full Name | Palm Family Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 Sarno Rd Ste 21, Melbourne, Florida |
| Authorized Official Name and Position | Mary Angela Mccarthy (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 3216101017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Family Health Llc 1600 Sarno Rd Ste 21 Melbourne FL 32935-4992 Ph: (321) 610-1017 | Palm Family Health Llc 1600 Sarno Rd Ste 21 Melbourne FL 32935-4992 Ph: (321) 610-1017 |
| NPI Number | 1548845456 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 6608283700 |
|---|---|
| Medicare Enrollment ID | O20210407000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548845456 | NPI | - | NPPES |
| NP776 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary Angela Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295213346 PECOS PAC ID: 1658619457 Enrollment ID: I20190220000880 |
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