Provider Demographics
NPI:1205130051
Name:PALMER, WILLIAM (DC, AP)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:PALMER
Suffix:
Gender:M
Credentials:DC, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 HOWELL BRANCH RD
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1170
Mailing Address - Country:US
Mailing Address - Phone:407-622-9090
Mailing Address - Fax:407-571-9570
Practice Address - Street 1:1555 HOWELL BRANCH RD
Practice Address - Street 2:SUITE B-2
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1170
Practice Address - Country:US
Practice Address - Phone:407-622-9090
Practice Address - Fax:407-571-9570
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-07
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11619111N00000X
FLAP2928171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist