Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ME0069324 | FL |
N | 207QA0401X | Family Doctor - Addiction Medicine | ME0069324 | FL |
N | 208D00000X | General Practice Physician | ME0069324 | FL |
NPI | 1841399318 |
---|---|
Provider Name | James A Halikas |
First Address | Naples, FL 34109-6004 |
Second Address | Naples, FL 34109-6004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 15/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D81796 | (02) | FL |