Individual
DR. CARLOS PALACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP INTERNAL MEDICINE, JACKSONVILLE, FL 32209-6511
(904) 244-3627
(904) 244-5139
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME70988
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000734368A
—
GA
01
—
110128894
RAILROAD MEDICARE
FL
05
—
2503328-00
—
FL
Enumeration date
02/25/2006
Last updated
01/21/2009
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