Provider Demographics
NPI:1720061500
Name:PALMA, ERICK ABDIEL (MD)
Entity Type:Individual
Prefix:
First Name:ERICK
Middle Name:ABDIEL
Last Name:PALMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:15680 N KENDALL DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1159
Mailing Address - Country:US
Mailing Address - Phone:305-436-9933
Mailing Address - Fax:305-500-2137
Practice Address - Street 1:7000 SW 62ND AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4716
Practice Address - Country:US
Practice Address - Phone:305-661-9404
Practice Address - Fax:305-661-1510
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2010-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME93119207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI44342Medicare UPIN
FLU6318ZMedicare PIN