# HALIFAX PATHOLOGY ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013728898
- **Authorized official:** LORA J. SHEHI (PRESIDENT)
- **Authorized official phone:** (386) 425-4139

## Contact information

- **Practice address:** 6225 S WILLIAMSON BLVD, PORT ORANGE, FL 32128-6094
- **Practice address phone:** (386) 425-4139
- **Mailing address:** PO BOX 935088, ATLANTA, GA 31193-5088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2025
- **Last updated:** 01/20/2025
