Provider Demographics
NPI:1063623445
Name:PALMER, WILLIAM L II (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:L
Last Name:PALMER
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:7345 JACKSON SPRINGS ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634
Mailing Address - Country:US
Mailing Address - Phone:813-514-2666
Mailing Address - Fax:813-514-2667
Practice Address - Street 1:7345 JACKSON SPRINGS ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634
Practice Address - Country:US
Practice Address - Phone:813-514-2666
Practice Address - Fax:813-514-2667
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH8249111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor