Individual
ANDRE HALABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1721 BRANDON MAIN ST STE A, BRANDON, FL 33511-5018
(813) 315-1530
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME168718
FL
208D00000X
General Practice Physician
4301509566
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/19/2021
Last updated
08/01/2024
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