Provider Demographics
NPI:1225714256
Name:OLIVER PALMER, PEDRO (MD, SCD, MPH, MHA,)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:
Last Name:OLIVER PALMER
Suffix:
Gender:M
Credentials:MD, SCD, MPH, MHA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 PONCE DE LEON BLVD APT 1000
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3364
Mailing Address - Country:US
Mailing Address - Phone:786-870-0531
Mailing Address - Fax:
Practice Address - Street 1:1300 PONCE DE LEON BLVD APT 1000
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3364
Practice Address - Country:US
Practice Address - Phone:786-870-0531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education