Eduardo Palanca MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME107758 Issued in FL

Legal business name

EDUARDO PALANCA MD PA

Practice address

2901 Rigsby LN
Safety Harbor, FL 34695-4828

Phone

(727) 724-8777

Fax

(855) 649-6066

NPI assigned

Jul 29, 2014

Last updated

Jun 21, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doreen McKee

Title

Chief Operations Officer

Phone

(727) 724-8777

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Charles Fernandez, M.D.

  • Family Medicine Physician
  • Palm Harbor, FL
  • NPI 1255381224
  Medicare reassignment Care Compare group NPD
• Jesus Antatico Macrohon

  • Nurse Practitioner
  • St Petersburg, FL
  • NPI 1770189656
  Medicare reassignment Care Compare group NPD
• Eduardo P Palanca, MD

  • Family Medicine Physician
  • Safety Harbor, FL
  • NPI 1386704856
  Medicare reassignment Care Compare group NPD
• Luisito Ago, APRN

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1184356537
  Medicare reassignment NPD
• Said Assif, MD

  • Nephrology Physician
  • New Port Richey, FL
  • NPI 1164625463
  Medicare reassignment NPD
• Eleanor Emong Manera, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Largo, FL
  • NPI 1477197861
  Medicare reassignment NPD
• Falon Blessing, DNP

  • Family Nurse Practitioner
  • Clearwater, FL
  • NPI 1699124560
  NPD (past)
• Lara L Cortes, APRN

  • Adult Health Nurse Practitioner
  • Tarpon Springs, FL
  • NPI 1790254639
  NPD (past)
• Courtney Jones, APRN

  • Family Nurse Practitioner
  • Seminole, FL
  • NPI 1861956153
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1164830634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 RIGSBY LN",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954828",
            "telephone_number": "727-724-8777",
            "fax_number": "855-649-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 RIGSBY LN",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954828",
            "telephone_number": "727-724-8777",
            "fax_number": "855-649-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO PALANCA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "727-724-8777"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012768000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "007PP",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael K Durham, LICDC-CS
• Heather Durkin, PHARMD
• Eagle Vision Consulting & Life Enrichment Services, Inc.
• Phillip Dilan Ebanks
• Kaitlyn M Edmondson, PA
• Marion A. Edwards, CRNA
• Stephen Ekman, MD
• Karen L. Ellingson, MD
• Gwen B Enfield, RD, CDE
• Kerry Englert, D.O.

• Family Medicine Physician in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.