Denise Hope Palacios, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108027 Issued in FL

Practice address

4958 Sun N Lake Blvd Ste B
Sebring, FL 33872-2159

Phone

(863) 386-4711

NPI assigned

Jul 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sun 'N Lake Medical Group,PA

  • Rural Health Clinic/Center
  • Lake Placid, FL
  • NPI 1144400540
  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1215344007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 SUN N LAKE BLVD STE B",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722159",
            "telephone_number": "863-386-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 SUN N LAKE BLVD STE B",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722159",
            "telephone_number": "863-386-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "DENISE",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo a. Lam, MD, P.a.
• Leah Pace-Aubrey
• Karla Michelle Pagan Pacheco
• Kye C Pahk, MD
• Annette Marie Painter, OTR/L
• Palm Medical Center Lakeland LLC
• Palm Medical Center Lakeland LLC
• Palms Personal Care, LLC
• Eric Scott Palosky, D.O.
• Michael D Palsgrove, CRNA

• Physician Assistant in Sebring, FL
• Providers in Sebring, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.