| Raul P. Palomado, Md Pa | |
|
302 W Main St Bowling Green FL 33834-5053 | |
| (863) 375-2214 | |
| (863) 375-2212 |
| Full Name | Raul P. Palomado, Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 W Main St, Bowling Green, Florida |
| Authorized Official Name and Position | Raul Pagdato Palomado (PRESIDENT) |
| Authorized Official Contact | 8633752214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raul P. Palomado, Md Pa 302 W Main St Bowling Green FL 33834-5053 Ph: (863) 375-2214 | Raul P. Palomado, Md Pa 302 W Main St Bowling Green FL 33834-5053 Ph: (863) 375-2214 |
| NPI Number | 1225309297 |
|---|---|
| Provider Enumeration Date | 01/23/2012 |
| Last Update Date | 01/23/2012 |
| Medicare PECOS PAC ID | 9830356096 |
|---|---|
| Medicare Enrollment ID | O20120131000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225309297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 49281 (Florida) | Primary |
| Provider Name | Raul P Palomado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922043439 PECOS PAC ID: 8325125362 Enrollment ID: I20120131000847 |
Epca, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5207 Mason Dixon Ave, Bowling Green, FL 33834 Phone: 863-375-3377 Fax: 863-375-2474 |