Provider Demographics
NPI:1033227707
Name:PALIN, WILLIAM E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:PALIN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:700 3RST STREET
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NEPTUNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32266
Mailing Address - Country:US
Mailing Address - Phone:904-247-0148
Mailing Address - Fax:904-247-0574
Practice Address - Street 1:700 3RD ST
Practice Address - Street 2:SUITE 303
Practice Address - City:NEPTUNE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32266-5072
Practice Address - Country:US
Practice Address - Phone:904-247-0148
Practice Address - Fax:904-247-0574
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2014-12-22
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Provider Licenses
StateLicense IDTaxonomies
FLME101653208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC78456Medicare UPIN
FLBN225YMedicare PIN
FLBN225ZMedicare PIN