| Eduardo Palanca Md Pa | |
|
2719 State Road 580 Clearwater FL 33761-3343 | |
| (727) 724-8777 | |
| (727) 797-5699 |
| Full Name | Eduardo Palanca Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2719 State Road 580, Clearwater, Florida |
| Authorized Official Name and Position | Eduardo Palanca (OWNER) |
| Authorized Official Contact | 7277248777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo Palanca Md Pa 2719 State Road 580 Clearwater FL 33761-3343 Ph: (727) 724-8777 | Eduardo Palanca Md Pa 2719 State Road 580 Clearwater FL 33761-3343 Ph: (727) 724-8777 |
| NPI Number | 1164830634 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 10/02/2014 |
| Medicare PECOS PAC ID | 5799902524 |
|---|---|
| Medicare Enrollment ID | O20140819000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164830634 | NPI | - | NPPES |
| 007PP | Other | FL | BCBSF |
| 012768000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME107758 (Florida) | Primary |
| Provider Name | Said Assif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164625463 PECOS PAC ID: 8224118690 Enrollment ID: I20080110000502 |
| Provider Name | Eduardo P Palanca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386704856 PECOS PAC ID: 3678654456 Enrollment ID: I20110425000139 |
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