Kenneth Palestrant in Port St Lucie - Adult Medicine
Kenneth Palestrant - NPI 1932218518
Kenneth Palestrant is a Adult Medicine in Port St Lucie, Florida. Kenneth Palestrant practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Kenneth Palestrant is 1932218518. The last update date is 2007-07-08.
Kenneth Palestrant's current location address is 1900 Se Port St Lucie Blvd, Port St Lucie, Florida. You can contact this provider via phone number 7723981588 and fax number 7723981550. The mailing address for Kenneth Palestrant is 1900 Se Port St Lucie Blvd, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Palestrant |
|---|---|
| Address | 1900 Se Port St Lucie Blvd, Port St Lucie, Florida |
| Phone Number | 7723981588 |
| Fax Number | 7723981550 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932218518 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1900 Se Port St Lucie Blvd |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349525554 |
| Phone Number | 7723981588 |
| Fax Number | 7723981550 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | ME0056324 |
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What is the Kenneth Palestrant's unique identification number?
The Kenneth Palestrant has been assigned the NPI (National Provider Identifier) Number 1932218518 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kenneth Palestrant located?
The Kenneth Palestrant is located at 1900 Se Port St Lucie Blvd, Port St Lucie, FL 349525554.
What is the Kenneth Palestrant's specialty and taxonomy code?
The Kenneth Palestrant's specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932218518 to Kenneth Palestrant?
The Centers for Medicare & Medicaid Services originally issued the 1932218518 to Kenneth Palestrant on 2006-08-29.
As of what date were the details pertaining to Kenneth Palestrant last refreshed?
The information related to the Kenneth Palestrant, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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