Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH3362 | FL |
NPI | 1003921081 |
---|---|
Provider Name | Dr. Robert Gerald Haling |
First Address | Ocala, FL 34471-2623 |
Second Address | Ocala, FL 34471-2623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T95224 | (02) | FL |