Individual
MICHAEL MITCHELL HALISTA
Active
Individual
MICHAEL MITCHELL HALISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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