Provider Demographics
NPI:1043249451
Name:PALMIRE, VINCENT C JR (MD)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:C
Last Name:PALMIRE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SE 17TH ST STE 503
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5176
Mailing Address - Country:US
Mailing Address - Phone:352-433-2825
Mailing Address - Fax:352-433-2893
Practice Address - Street 1:1500 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6504
Practice Address - Country:US
Practice Address - Phone:352-867-8311
Practice Address - Fax:352-622-5771
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME58738207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL68583OtherBCBS FL
FL370421101Medicaid
FL68583QMedicare PIN
FLF26025Medicare UPIN
FL050065021Medicare PIN
FL68583VMedicare PIN
FL050063696Medicare PIN
FL68583SMedicare PIN
FL370421101Medicaid
FL68583XMedicare PIN
FL68583TMedicare PIN
FL68583RMedicare PIN
FL68583WMedicare PIN