| Palms Medical Group | |
|
630 N Main St Williston FL 32696-1705 | |
| (352) 528-0587 | |
| (352) 528-4834 |
| Full Name | Palms Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 630 N Main St, Williston, Florida |
| Authorized Official Name and Position | Anita H. Rembert (CEO) |
| Authorized Official Contact | 3864540698 |
| 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 630 N Main St Williston FL 32696-1705 Ph: (352) 528-0587 |
| NPI Number | 1255577631 |
|---|---|
| Provider Enumeration Date | 01/06/2009 |
| Last Update Date | 08/09/2021 |
| Medicare PECOS PAC ID | 2365359387 |
|---|---|
| Medicare Enrollment ID | O20090826000844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255577631 | NPI | - | NPPES |
| 029506011 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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