Provider Demographics
NPI:1255393294
Name:PALACIOS, FRANCISCO S
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:S
Last Name:PALACIOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3659 S MIAMI AVE
Mailing Address - Street 2:SUITE 2005
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4227
Mailing Address - Country:US
Mailing Address - Phone:305-858-0315
Mailing Address - Fax:305-860-1408
Practice Address - Street 1:3659 S MIAMI AVE
Practice Address - Street 2:SUITE 2005
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4227
Practice Address - Country:US
Practice Address - Phone:305-858-0315
Practice Address - Fax:305-860-1408
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0049280207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL062356300Medicaid
FL062356300Medicaid
FL09908Medicare ID - Type Unspecified