Individual
LADARIUS HALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
1439 BURNING TREE RD, TARPON SPRINGS, FL 34689-3801
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11029546
FL
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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