NPIMap

Individual provider Active NPI

Eduardo P Palanca, MD

  • Family Medicine Physician
  • Safety Harbor, FL
National Provider Identifier
1386704856
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 107758 Issued in FL
Practice address
2901 Rigsby LN
Safety Harbor, FL 34695-4828
Phone
(727) 724-8777
Fax
(855) 649-6066
NPI assigned
Dec 12, 2006
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-106551 IL
Family Medicine Physician 207Q00000X 42699 WI
Family Medicine Physician 207Q00000X ME 107758 FL Primary

Addresses

Primary practice location

2901 Rigsby LN
Safety Harbor, FL 34695-4828

Mailing address

2901 Rigsby LN
Safety Harbor, FL 34695-4828
Phone (727) 724-8777

Other identifiers 3

IdentifierTypeStateIssuer
003086500MedicaidFL
149PNOtherFLBCBSF
34026300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000139 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family Practice 3678654456 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, General Practice
Education
Saint Louis University School of Medicine, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Community Hospitalists of PinellaGroup PAC ID 0648267609, 24 clinicians
Eduardo Palanca MD PAGroup PAC ID 5799902524, 3 clinicians
Sunstate Physicians LLCGroup PAC ID 3577813617, 14 clinicians

Practice addresses (Care Compare)

1173 Turner St
Clearwater, FL 33756-4135
Phone 7272988496210

1840 Mease Dr
Suite 315
Safety Harbor, FL 34695-6605
Phone (727) 781-7711

2901 Rigsby LN
Safety Harbor, FL 34695-4828
Phone (727) 724-8777

801 W Bay Dr
Suite 321
Largo, FL 33770-3227
Phone (727) 316-5033

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 107758FLMDFamily Medicine Physician
036-106551ILMDFamily Medicine Physician
42699WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Eduardo Palanca MD PA Family Medicine CurrentSince Jul 25, 2014 Accepting new patients
Community Hospitalists of Pinella CurrentSince Jul 17, 2011 Accepting new patients
Sunstate Physicians LLC CurrentSince Apr 2, 2021 Accepting new patients
Dr MLK Street Opco LLC PastSince Jul 1, 2024 Accepting new patients
Meadowpark Operations, LLC PastSince May 27, 2024 Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

1173 Turner St
Clearwater, FL 33756
Phone (727) 298-8496

2719 State Road 580
Clearwater, FL 33761
Phone (727) 240-1763

549 Sky Harbor Dr
Bldg 31
Clearwater, FL 33759
Phone (727) 724-6800

801 West Bay Dr
Ste 321
Largo, FL 33770
Phone (561) 302-6086

1840 Mease Dr
Ste 315
Safety Harbor, FL 34695
Phone (727) 781-7711

2901 Rigsby Ln
Safety Harbor, FL 34695
Phone (727) 218-8870

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: eduardo.palanca@epmp.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harbourwood Post-Acute and Rehabilitation CenterClearwater, FL, CCN 106041 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 30, 2012
Oct 30, 2012
Meadowpark Health and Rehabilitation CenterDunedin, FL, CCN 105436 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 27, 2024
Sep 18, 2025
Aviata at the HarborSafety Harbor, FL, CCN 105549 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2024
Jul 1, 2024
Aviata at Lakeside OaksDunedin, FL, CCN 105132 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2023
Dec 1, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1386704856",
    "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": {
        "last_name": "PALANCA",
        "first_name": "EDUARDO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-106551",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "42699",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 107758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003086500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "149PN",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34026300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.