Marissa Palermo, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

APRN11014660 Issued in FL

Practice address

603 N Flamingo Rd Ste 150
Pembroke Pines, FL 33028-1022

Phone

(954) 436-6660

NPI assigned

Aug 3, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: rofemedical.marissapalermo@155897.advancedmd-direct.com

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1669146668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD STE 150",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281022",
            "telephone_number": "954-436-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD STE 150",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281022",
            "telephone_number": "954-436-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALERMO",
        "first_name": "MARISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11014660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Pajon-Roure
• David Pakula
• Jennifer Palacio, MD
• Kimberly A Palazzolo, ARNP
• Coromoto Angela Palermo, M.D.
• Adrianna Palestina, SLP
• Palisades Dialysis LLC (Carol City Dialysis)
• Palm Chiropractic Center, Inc.
• Palm Springs Medical Services Inc
• Palm Springs Pediatric Associates of Florida LLC

• Family Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Sep 23, 2021; 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.