Provider Demographics
NPI:1578299715
Name:THE PALMIERO GROUP LLC
Entity Type:Organization
Organization Name:THE PALMIERO GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PULEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-477-7634
Mailing Address - Street 1:PO BOX 320239
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33679-2239
Mailing Address - Country:US
Mailing Address - Phone:813-477-7634
Mailing Address - Fax:
Practice Address - Street 1:4807 BAYSHORE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-2820
Practice Address - Country:US
Practice Address - Phone:813-443-5134
Practice Address - Fax:813-200-3571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty