Individual
HAL J BASHEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2051 45TH ST, SUITE 203, WEST PALM BEACH, FL 33407-2027
(561) 848-8700
(561) 848-7070
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OS 6143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0642985
CIGNA
FL
01
—
1010099
CAREPLUS
FL
01
—
1241662
WELLCARE
FL
01
—
204650
AVMED
FL
01
—
3437
DIMENSION
FL
05
—
370525100
—
FL
01
—
4404227
AETNA
FL
01
—
80572
BCBS
FL
01
—
P01649227
RR MEDICARE
FL
01
—
P03512
FREEDOM
FL
01
—
P971487
OPTIMUM
FL
Enumeration date
02/06/2006
Last updated
11/09/2016
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