PALMS MEDICAL GROUP – NPI #1124432042
Clinic/Center

PALMS MEDICAL GROUP is an AHC clinic located in LIVE OAK, FL. NPPES has assigned the NPI number 1124432042 to PALMS MEDICAL GROUP on June 18, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PALMS MEDICAL GROUP” is a dba name, the actual legal business name for this organization is TRENTON MEDICAL CENTER, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Jan 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PALMS MEDICAL GROUP below.

NPI Profile for
TRENTON MEDICAL CENTER, INC.

NPI Number
1124432042
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRENTON MEDICAL CENTER, INC.
Doing Business As (dba): PALMS MEDICAL GROUP
Primary location
211 RANCHERA ST NW
LIVE OAK, FL 32064
Phone: (386) 364-1751 Fax: (386) 364-1761
Mailing address
23476 NW 186TH AVE
HIGH SPRINGS, FL 32643-0673
Phone: (386) 454-0698 Fax: (386) 454-0690
Organization Subpart
Yes - PALMS MEDICAL GROUP is subpart of another organization.
Authorized Official
ANITA REMBERT
C.E.O.
Phone: (386) 454-0698
Updated
Certification Date
Jan 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.