Provider Demographics
NPI:1043639800
Name:PALMER, ROBERT CARLTON (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CARLTON
Last Name:PALMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:341 TURNBURY WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1452
Mailing Address - Country:US
Mailing Address - Phone:863-443-0854
Mailing Address - Fax:
Practice Address - Street 1:15821 HOLLYFERN CT # 3732
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3732
Practice Address - Country:US
Practice Address - Phone:239-432-5100
Practice Address - Fax:863-336-0017
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC202002534207XP3100X
FLME157355207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery