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NPI Code Detail

MEDICARE: DR. CHARLES PALILLA M.D.

MEDICARE:  DR. CHARLES  PALILLA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianFL47633FL

General Provider Information

NPI Number : 1750361341
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES PALILLA M.D.
Provider Business Mailing Address
First Line : 2324 SW 23RD CRANBROOK DR
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-5712
Country : US
Telephone Number : 561-734-9096
Fax Number : 561-966-7564
Provider Business Practice Location Address
First Line : 190 JFK DR
Second Line : SUITE B
City : ATLANTIS
State : FL
Zip : 33462-1186
Country : US
Telephone Number : 561-642-4464
Fax Number : 561-966-7564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 08/05/2009

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Directions to “ DR. CHARLES PALILLA M.D.” Practice Location

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