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Organization
CHARLES F HALFPENNY MD LLC
Active
Organization
CHARLES F HALFPENNY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE J MOLINET (NURSE PRACTITIONER)
(954) 463-3416
Entity
Organization
Contact information
Practice address
12 NE 12TH AVE, FT LAUDERDALE, FL 33301-1604
(954) 463-3416
(954) 523-5570
Mailing address
12 NE 12TH AVE, FT LAUDERDALE, FL 33301-1604
(954) 463-3416
(954) 523-5570
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
0011163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053375964
INDIVIDUAL NPI
FL
Enumeration date
04/02/2007
Last updated
08/01/2007
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