Organization
MICHAEL D HALLDPMPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D HALL DPMPA (PRESIDENT)
(954) 341-4306
Entity
Organization
Contact information
Practice address
2901 CORAL HILLS DR STE 330, CORAL SPRINGS, FL 33065-4165
(954) 341-4306
(954) 340-4431
Mailing address
2901 CORAL HILLS DR STE 330, CORAL SPRINGS, FL 33065-4165
(954) 341-4306
(954) 340-4431
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 1300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029760700
—
FL
Enumeration date
03/04/2014
Last updated
03/04/2014
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