Provider Demographics
NPI:1700226461
Name:PALMATEER, DEAN C (MD)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:C
Last Name:PALMATEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 MASTERPIECE DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-6591
Mailing Address - Country:US
Mailing Address - Phone:813-633-7840
Mailing Address - Fax:813-633-7864
Practice Address - Street 1:765 MASTERPIECE DR
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-6591
Practice Address - Country:US
Practice Address - Phone:813-633-7840
Practice Address - Fax:813-633-7864
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301046504207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine