Provider Demographics
NPI:1013253095
Name:PALMER, MICHAEL EVERETT II (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:EVERETT
Last Name:PALMER
Suffix:II
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 PALMER SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:CRESCENT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32112-5000
Mailing Address - Country:US
Mailing Address - Phone:386-546-1331
Mailing Address - Fax:
Practice Address - Street 1:424 N PARK AVE
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-4152
Practice Address - Country:US
Practice Address - Phone:407-886-0611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant