Provider Demographics
NPI:1700981578
Name:PALMA, RICHARD L
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:L
Last Name:PALMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-4618
Mailing Address - Country:US
Mailing Address - Phone:305-754-5144
Mailing Address - Fax:305-754-3694
Practice Address - Street 1:7901 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-4618
Practice Address - Country:US
Practice Address - Phone:305-754-5144
Practice Address - Fax:305-754-3694
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOD1440156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician