Daniel Palm, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

97223 Issued in FL

Practice address

3202 Monitor LN
Indialantic, FL 32903-1829

Phone

(321) 506-7602

Fax

(888) 328-1167

NPI assigned

May 18, 2006

Last updated

Nov 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shorecoast ER SVCS Partnership LLC

  • Emergency Medicine Physician
  • Ormond Beach, FL
  • NPI 1851349153
  NPD (past)
• Sterthaus ER SVCS Partnership LLC

  • Emergency Medicine Physician
  • Daytona Beach, FL
  • NPI 1043269376
  NPD (past)
• Batesville Emergency Physicians

  • Urgent Care Clinic/Center
  • Batesville, MS
  • NPI 1316036973
  NPD (past)
• Darling Emergency Physicians LLC

  • Emergency Medicine Physician
  • Waycross, GA
  • NPI 1306058573
  NPD (past)
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  NPD (past)
• Tishomingo Health Services, Inc.

  dba Belmont Family Medical Clinic

  • Clinic/Center
  • Belmont, MS
  • NPI 1295105922
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1093768202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 MONITOR LN",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329031829",
            "telephone_number": "321-506-7602",
            "fax_number": "888-328-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 MONITOR LN",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329031829",
            "telephone_number": "321-506-7602",
            "fax_number": "888-328-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALM",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "97223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuvo Wellness & Recovery LLC
• Julie A O'Neill
• Ocean Breeze Counseling, LLC
• Optique Unique
• PA Associates 'LLC.'
• Renee Palmer-Smith, PHD
• Danielle Christin Palsis, PHARM.D.
• Mary Parker
• Jital Patel, OTR/L, BCTS
• Barbara Michele Paulillo, PSY.D.

• Family Medicine Physician in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.