MEDICARE: DR. REMIGIO PALUMBO 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
1	174400000X	Specialist	ME19675	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356361158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REMIGIO PALUMBO M.D.

Provider Business Mailing Address
First Line	:	2801 W WATERS AVE
Second Line	:	STE# B
City	:	TAMPA
State	:	FL
Zip	:	33614-1866
Country	:	US
Telephone Number	:	813-935-1766
Fax Number	:	813-935-8093

Provider Business Practice Location Address
First Line	:	2801 W WATERS AVE
Second Line	:	STE# B
City	:	TAMPA
State	:	FL
Zip	:	33614-1866
Country	:	US
Telephone Number	:	813-935-1766
Fax Number	:	813-935-8093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	08/06/2010

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