Provider Demographics
NPI:1629285226
Name:PALMER, NICOLE MARIE (DC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:MARIE
Last Name:PALMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10155 E. COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4209
Mailing Address - Country:US
Mailing Address - Phone:407-203-6870
Mailing Address - Fax:407-386-6672
Practice Address - Street 1:10155 E. COLONIAL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4209
Practice Address - Country:US
Practice Address - Phone:407-203-6870
Practice Address - Fax:407-386-6672
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007003954111N00000X
IN08002423A111N00000X
FLCH12639111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty