Provider Demographics
NPI:1295833564
Name:PALAZZOLO, ARLENE MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:MARY
Last Name:PALAZZOLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:113 HARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-8986
Mailing Address - Country:US
Mailing Address - Phone:407-348-0990
Mailing Address - Fax:407-944-9041
Practice Address - Street 1:2550 SIMPSON ROAD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-3806
Practice Address - Country:US
Practice Address - Phone:407-648-0076
Practice Address - Fax:407-648-3666
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME36805207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002676800Medicaid
FL98292OtherPTAN
FL98292OtherPTAN