Individual
RAPHAEL ARTURO PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7261 SHERIDAN ST STE 100B, HOLLYWOOD, FL 33024-2708
(954) 561-6222
(954) 990-7650
Mailing address
7261 SHERIDAN ST STE 340, HOLLYWOOD, FL 33024-2726
(954) 561-6222
(954) 990-7650
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11008792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108234600
—
FL
Enumeration date
09/16/2020
Last updated
05/09/2024
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