Active NPI
Palermo MD PA
- Pain Medicine (Anesthesiology) Physician
- Clearwater, FL
National Provider Identifier
1972606150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PALERMO MD PA
- Practice address
- 1130 Ponce de Leon Blvd
Clearwater, FL 33756-1041 - Phone
- (727) 581-4800
- Fax
- (727) 828-0723
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louis Palermo, MD
- Title
- Owner / Provider
- Phone
- (727) 823-2188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1130 Ponce de Leon Blvd
Clearwater, FL 33756-1041
Mailing address
PO Box 23506
Tampa, FL 33623-3506
Phone (727) 823-2188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD5549 | Other | FL | RR MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301443200000",
"number": "1972606150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23506",
"city": "TAMPA",
"state": "FL",
"postal_code": "336233506",
"telephone_number": "727-823-2188",
"fax_number": "727-828-0723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 PONCE DE LEON BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337561041",
"telephone_number": "727-581-4800",
"fax_number": "727-828-0723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALERMO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2011-03-30",
"status": "A",
"authorized_official_last_name": "PALERMO",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "OWNER / PROVIDER",
"authorized_official_telephone_number": "727-823-2188",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DD5549",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.