# MARK R PALAZZOLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972520559
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | OS10224 | FL | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 07/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 200000002505 | PHP | MI |
| 05 | — | 281269000 | — | FL |
| 05 | — | 4505156 | — | MI |
| 01 | — | AS941Y | MEDICARE | FL |
| 01 | — | P00014737 | RAILROAD MEDICARE | MI |