Palmon, Sally
Palmon, Sally is an individual health care provider with primary practice located at 12511 World Plaza Ln Bldg 50 , Fort Myers FL 33907-3991. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Palmon, Sally can be contacted via phone (239) 939-2622.Contact Information
Primary practice address
12511 World Plaza Ln Bldg 50
Fort Myers FL 33907-3991
Phone: (239) 939-2622
Fax: (239) 939-0151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME0075826 | Florida |
Profile Details
| NPI number | 1912977737 |
|---|---|
| LBN Legal business name | Palmon, Sally |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Feb 28th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912977737 | NPPES |
| Other | 221633 | AMERIGROUP | |
| Other | 43450 | AMERIGROUP | |
| MEDICAID | 253942000 | AMERIGROUP | |
| Other | 50061845 | AMERIGROUP |
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