| Palms Medical Group | |
|
2233 Park Ave Ste 403&405 Orange Park FL 32073-5570 | |
| (904) 688-3000 | |
| (904) 688-3001 |
| Full Name | Palms Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2233 Park Ave Ste 403&405, Orange Park, Florida |
| Authorized Official Name and Position | Anita H. Rembert (CEO) |
| Authorized Official Contact | 3524634501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palms Medical Group 23343 Nw County Road 236 High Springs FL 32643-9669 Ph: (386) 454-0698 | Palms Medical Group 2233 Park Ave Ste 403&405 Orange Park FL 32073-5570 Ph: (904) 688-3000 |
| NPI Number | 1609599836 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Medicare PECOS PAC ID | 2365359387 |
|---|---|
| Medicare Enrollment ID | O20221214003130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609599836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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