Individual
ANDREW C HALPERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BOOTH RD, SUITE A, ORMOND BEACH, FL 32174-5715
(386) 523-1212
(386) 523-1213
Mailing address
PO BOX 732901, DALLAS, TX 75373-2901
(386) 226-4590
(386) 226-3371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
223250-1
NY
208000000X
Pediatrics Physician
Primary
ME124133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359520
ANTHEM BC/BS
IN
01
—
15D1038972
CLIA
IN
05
—
200063730A
—
IN
05
—
64097124
—
KY
Enumeration date
09/26/2005
Last updated
03/07/2023
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