Individual
DR. MONTHER HAFEZ AL-HALAWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 CORNER DR, BRANDON, FL 33511-5724
(813) 643-4722
(813) 651-3280
Mailing address
502 CORNER DR, BRANDON, FL 33511-5724
(813) 643-4722
(813) 651-3280
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME72768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0737733
AETNA
FL
01
—
14637
WELLCARE
FL
01
—
225514
AV-MED
FL
01
—
2300240
GHI
FL
01
—
2962501006
CIGNA
FL
01
—
3300200
UNITED HEALTHCARE
FL
01
—
38043
BCBS FL
FL
01
—
460001515
RAILROAD MEDICARE
FL
01
—
593446898
TAX ID#
FL
Enumeration date
11/08/2006
Last updated
08/11/2020
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