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Individual

BRIAN T PALUMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME115727
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME115727
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14PW2
BCBS
FL
01
365521
AVMED
FL
01
9377911
AETNA
FL
Enumeration date
05/30/2007
Last updated
10/12/2017
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