Provider Demographics
NPI:1063757425
Name:PALMA, MARNI HOPE (PA)
Entity type:Individual
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First Name:MARNI
Middle Name:HOPE
Last Name:PALMA
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Gender:F
Credentials:PA
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Mailing Address - Street 1:5365 W ATLANTIC AVE
Mailing Address - Street 2:STE 504
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8194
Mailing Address - Country:US
Mailing Address - Phone:561-241-9300
Mailing Address - Fax:561-241-9339
Practice Address - Street 1:1693 LEE RD
Practice Address - Street 2:STE B
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2260
Practice Address - Country:US
Practice Address - Phone:407-622-5766
Practice Address - Fax:407-622-5767
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2017-05-10
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Provider Licenses
StateLicense IDTaxonomies
FLPA9106931363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical