Provider Demographics
NPI:1144484106
Name:PALMER, CARRIE ANN (MD)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:PALMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CARRIE
Other - Middle Name:ANN
Other - Last Name:MAJERANOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1441 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-2613
Mailing Address - Country:US
Mailing Address - Phone:772-286-0007
Mailing Address - Fax:772-283-5467
Practice Address - Street 1:1441 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2613
Practice Address - Country:US
Practice Address - Phone:772-286-0007
Practice Address - Fax:772-283-5467
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08441600207W00000X
NY254317207W00000X
FLME106046207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology