Provider Demographics
NPI:1477242543
Name:PIANA, PALMER REY (DC)
Entity Type:Individual
Prefix:DR
First Name:PALMER
Middle Name:REY
Last Name:PIANA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19441 THE PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-6586
Mailing Address - Country:US
Mailing Address - Phone:860-733-3696
Mailing Address - Fax:
Practice Address - Street 1:19441 THE PLACE BLVD
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-6586
Practice Address - Country:US
Practice Address - Phone:860-733-3696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14338111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor