Palazzolo, Kimberly A
Palazzolo, Kimberly A is an individual health care provider with primary practice located at 1601 N Palm Ave Suite 211, Pembroke Pines FL 33026-3200. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Palazzolo, Kimberly A can be contacted via phone (888) 852-6672.Contact Information
Primary practice address
1601 N Palm Ave Suite 211
Pembroke Pines FL 33026-3200
Phone: (888) 852-6672
Fax: (305) 891-4228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ARNP1216932 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | ARNP1216932 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | ARNP1216932 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | ARNP1216932 | Florida |
Profile Details
| NPI number | 1497743090 |
|---|---|
| LBN Legal business name | Palazzolo, Kimberly A |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Aug 19th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497743090 | NPPES |
| Florida | MEDICAID | 300295100 |
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