Individual
DAVID J HALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
808 OAKWOOD AVE, NEW SMYRNA BEACH, FL 32169-2721
(407) 325-0285
Mailing address
808 OAKWOOD AVE, NEW SMYRNA BEACH, FL 32169-2721
(407) 325-0285
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA31180
FL
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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