Individual
MICHAEL MITCHELL HALISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5352 LINTON BLVD STE 100, DELRAY BEACH, FL 33484-6514
(561) 498-2249
(561) 498-0320
Mailing address
PO BOX 20800, BELFAST, ME 04915-4105
(469) 803-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024-01016
NC
207RC0000X
Cardiovascular Disease Physician
2024-01016
NC
207RI0011X
Interventional Cardiology Physician
2024-01016
NC
207RI0011X
Interventional Cardiology Physician
Primary
ME174655
FL
Other
Enumeration date
04/18/2017
Last updated
04/21/2026
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