Palm Quality Care Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

PALM QUALITY CARE INC

Practice address

4650 Lipscomb St NE Ste 28
Palm Bay, FL 32905-2997

Phone

(321) 290-9455

Fax

(321) 821-4596

NPI assigned

Dec 3, 2018

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Imatide Charles

Title

Ceo

Phone

(321) 215-1131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1215407234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 LIPSCOMB ST NE STE 28",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052997",
            "telephone_number": "321-215-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 LIPSCOMB ST NE STE 28",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052997",
            "telephone_number": "321-290-9455",
            "fax_number": "321-821-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM QUALITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "IMATIDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-215-1131"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Bay Medical Associates, LLC
• Palm Bay Medical Investors, LLC (Life Care Center of Palm Bay)
• Palm Bay RX Pharmacy LLC (Palm Bay Pharmacy)
• Palm Bay Urgent Care PL
• Palm Breeze Dental PLLC
• Erin E Palmer
• Sacajawea M Palmer
• Regina Charlene Palmeri
• Nichole M Palomba, PA-C
• Heather M Palonis, CPBT

• Developmental Disabilities Clinic/Center in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.