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Organization
RAFAEL A PALMEROLA MD P A
Active
Organization
RAFAEL A PALMEROLA MD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN SUAREZ (BILLING MANAGER)
(786) 843-9059
Entity
Organization
Contact information
Practice address
7875 SW 66TH ST, SOUTH MIAMI, FL 33143-2712
(786) 326-8608
Mailing address
7875 SW 66TH ST, SOUTH MIAMI, FL 33143-2712
(786) 326-8608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME67254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377249700
—
FL
01
—
AK108
MEDICARE PTAN
FL
Enumeration date
07/04/2006
Last updated
08/27/2019
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