Palacios, Guillermo A

Palacios, Guillermo A is an individual health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Radiological Physics. Allopathic & Osteopathic Physicians / Radiological Physics is his primary health care specialty. Palacios, Guillermo A can be contacted via phone (954) 987-2000.

Contact Information

Primary practice address
3501 Johnson St Hollywood FL 33021-5421
Phone: (954) 987-2000
Fax: (954) 437-6628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME99650 Florida
Allopathic & Osteopathic Physicians / Radiological Physics 2085R0205X 067073 Georgia

Profile Details

NPI number 1831132711
LBN Legal business name Palacios, Guillermo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Sep 27th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831132711 NPPES
Georgia Other 067073 MEDICAL LICENSE

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