Individual
JEFFREY STEPHEN HALSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5995 S POINTE BLVD STE 109, FORT MYERS, FL 33919-3273
(239) 362-2545
Mailing address
5995 S POINTE BLVD STE 109, FORT MYERS, FL 33919-3273
(239) 362-2545
(239) 362-0544
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
3729
OK
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS17915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103150A
—
OK
01
—
PN115
MEDICARE
FL
Enumeration date
07/24/2006
Last updated
12/29/2022
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