Organization Active NPI

Remigio Palumbo MD PA

  • Specialist
  • Tampa, FL
National Provider Identifier
1851513410
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0019675 Issued in FL
Legal business name
REMIGIO PALUMBO MD PA
Practice address
2801 W Waters Ave
Ste B
Tampa, FL 33614
Phone
(813) 935-1766
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Dr. Remigio Palumbo, M.D.
Title
President
Phone
(813) 935-1766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0019675 FL Primary

Addresses

Primary practice location

2801 W Waters Ave
Ste B
Tampa, FL 33614

Mailing address

2801 W Waters Ave
Ste B
Tampa, FL 33614
Phone (813) 935-1766

Other identifiers 1

IdentifierTypeStateIssuer
054855300MedicaidFL

National Provider Directory

National Provider Directory

Locations

2801 W Waters Ave
Ste B
Tampa, FL 33614
Phone (813) 935-1766

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1851513410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W WATERS AVE",
            "address_2": "STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-935-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W WATERS AVE",
            "address_2": "STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-935-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMIGIO PALUMBO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "REMIGIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-935-1766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0019675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054855300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.