Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | ME78789 | FL |
NPI | 1487683801 |
---|---|
Provider Name | Dr. David Eric Halpern |
First Address | Tampa, FL 33606-1703 |
Second Address | Tampa, FL 33606-1703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0320144002 | CIGNA (01) | FL |
213970 | AMERIGROUP (01) | FL |
2276630 | AETNA (01) | FL |
262900 | AVMED (01) | FL |
47065 | BLUE CROSS/BLUE SHIELD (01) | FL |
59-3644408 | CORPORATE TAX ID # (01) | FL |
59-3644408 (TAX ID#) | HUMANA (01) | FL |
59-3644408 (TAX ID#) | TRICARE (01) | FL |
59-3644408 (TAX ID#) | UNITED (01) | FL |
G28161 | (02) | FL |