Provider Demographics
NPI:1023038254
Name:PALMIERI, FRANCIS X (MSW)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:X
Last Name:PALMIERI
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:PALMIERI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:1667 ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-3346
Mailing Address - Country:US
Mailing Address - Phone:904-399-1818
Mailing Address - Fax:904-399-3550
Practice Address - Street 1:1667 ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-3346
Practice Address - Country:US
Practice Address - Phone:904-399-1818
Practice Address - Fax:904-399-3550
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW38161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ8303Medicare ID - Type Unspecified