Active NPI
Rafael Armando Palacios, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103290
- Practice address
- 1431 SW 1St Ave
Ocala Regional Medical Center, DPMT of Emergency Med
Ocala, FL 34471 - Phone
- (352) 351-7200
- NPI assigned
- Aug 7, 2006
- Last updated
- Dec 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103290 | FL | Primary |
| Medical Physician Assistant | 363AM0700X | 04573 | TX |
Addresses
Primary practice location
1431 SW 1St Ave
Ocala Regional Medical Center, DPMT of Emergency Med
Ocala, FL 34471
Mailing address
2412 SE 27TH St
Ocala, FL 34471-0703
Phone (352) 867-7116
Other names 1
- Rafael Armando Palacios
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4815 Sweetgrass PL
Unit 201
Jacksonville, FL 32224-0131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103290 | FL | MD | Medical Physician Assistant |
| 04573 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avecina Medical PA | Current | Accepting new patients | |
| Avecina Medical, PA | Current | Accepting new patients | |
| Avecina Medical PA | Past | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Past | Accepting new patients | |
| Ipn Emergency Physicians of North Florida PA | Past | Accepting new patients | |
| Dolphin Emergency Physicians LLC | Past | Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients |
Locations
4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372
9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180
1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1295738367
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1780254870
-
- Urgent Care Clinic/Center
- Yulee, FL
- NPI 1962200717
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1215082003
-
- Emergency Medicine Physician
- Ocala, FL
- NPI 1871542712
-
- Emergency Medicine Physician
- Ocala, FL
- NPI 1881643740
-
- Emergency Medicine Physician
- Starke, FL
- NPI 1619287158
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1194734954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 SE 27TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344710703",
"telephone_number": "352-867-7116",
"fax_number": "352-867-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 SW 1ST AVE",
"address_2": "OCALA REGIONAL MEDICAL CENTER, DPMT OF EMERGENCY MED",
"city": "OCALA",
"state": "FL",
"postal_code": "34471",
"telephone_number": "352-351-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIOS",
"first_name": "RAFAEL",
"middle_name": "ARMANDO",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103290",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "04573",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAFAEL",
"last_name": "PALACIOS",
"middle_name": "ARMANDO",
"credential": "PAC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ocala, FL
- Pain Care of Ocala, LLC
- Pain Rehabilitation and Wellness Institute LLC
- Pain Treatment Centers of Florida PLLC
- Maria Veronica Palacio-Weaver, LMHC
- Marilyn Palacios
- Lisa Robinson Paliy, CRNA
- Palm Garden of Ocala LLC (Palm Garden of Ocala)
- Vcki Lynne Palma, OT/L
- Michela Palmer, APRN
- Palmetto Behavioral Medicine Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.