Provider Demographics
NPI:1598937724
Name:PALM MEDICAL SERVICES
Entity Type:Organization
Organization Name:PALM MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-948-0065
Mailing Address - Street 1:300 E OAKLAND PARK BLVD
Mailing Address - Street 2:# 322
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-2148
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 E OAKLAND PARK BLVD
Practice Address - Street 2:# 322
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-2148
Practice Address - Country:US
Practice Address - Phone:800-998-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty