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Individual

DR. DOUGLAS CHARLES HALSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C. , ACUPUNCTURIST

Contact information

Practice address
28340 TRAILS EDGE BLVD, BONITA SPRINGS, FL 34134-7586
(239) 949-6811
(239) 992-6134
Mailing address
28340 TRAILS EDGE BLVD, BONITA SPRINGS, FL 34134-7586
(239) 949-6811
(239) 992-6134

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10879
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HN432A
MEDICARE - PTAN
FL
Enumeration date
09/20/2012
Last updated
06/18/2014
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