Individual
DR. BRETT J HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
943S BENEVA RD 306, SARASOTA, FL 34232-2473
(941) 362-8644
(941) 954-4440
Mailing address
943S BENEVA RD 306, SARASOTA, FL 34232-2473
(941) 362-8644
(941) 954-4440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036125084
IL
207R00000X
Internal Medicine Physician
058417
GA
207R00000X
Internal Medicine Physician
276152
AZ
207R00000X
Internal Medicine Physician
Primary
C131872
CA
208M00000X
Hospitalist Physician
C131872
CA
208M00000X
Hospitalist Physician
ME124342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125084
—
IL
01
—
04515143
BCBS#
IL
Enumeration date
01/15/2007
Last updated
09/25/2023
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