Organization
THE PEDIATRIC OFFICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A HALLE MD (PRESIDENT)
(954) 835-2111
Entity
Organization
Contact information
Practice address
14201 W SUNRISE BLVD, SUITE 107, SUNRISE, FL 33323-3207
(954) 835-2111
(954) 835-1105
Mailing address
14201 W SUNRISE BLVD, SUITE 107, SUNRISE, FL 33323-3207
(954) 835-2111
(954) 835-1105
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0017052
FL
Other
Enumeration date
01/28/2007
Last updated
09/30/2010
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