PALM LIFE MEDICAL ASSOCIATES PA
NPI 1679092886
Assisted Living Facility in Jacksonville, FL

Q: What is Palm Life Medical Associates PA's NPI number?

The NPI number for Palm Life Medical Associates PA is 1679092886. It was assigned to this organization in the NPPES registry on September 19, 2017.

Q: What is Palm Life Medical Associates PA's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since September 19, 2017

12494 ACOSTA OAKS DRIVE, JACKSONVILLE, FL 32258(407) 637-7203(407) 637-7203 Get Directions Write a Review

NPPES record last updated: September 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Palm Life Medical Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALM LIFE MEDICAL ASSOCIATES PA (NPI 1679092886) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since September 2017. The organization lists Esau Laurencin, President, as its authorized official.

NPPES Registry Identity

NPI1679092886

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePALM LIFE MEDICAL ASSOCIATES PA

Location Address12494 ACOSTA OAKS DRIVEJacksonville, FL 32258

Mailing Address12494 Acosta Oaks DriveJacksonville, FL 32258 · (407) 637-7203 · Fax (407) 637-7203

Phone(407) 637-7203

Fax(407) 637-7203

Organization SubpartNo

Authorized OfficialEsau LaurencinPresident · (407) 637-7203

Enumeration DateSeptember 19, 2017

✔ NPI 1679092886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

12494 ACOSTA OAKS DRIVE, Jacksonville, FL 32258

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palm Life Medical Associates PA's NPI number?

The NPI number for Palm Life Medical Associates PA is 1679092886. It was assigned to this organization in the NPPES registry on September 19, 2017.

Where is Palm Life Medical Associates PA located?

Palm Life Medical Associates PA is located at 12494 Acosta Oaks Drive, Jacksonville, FL 32258. The listed phone number is (407) 637-7203.

What is Palm Life Medical Associates PA's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Palm Life Medical Associates PA was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.