MEDICARE: DR. MICHAEL HALL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	ME120828	FL
2	2085R0001X	Radiation Oncology Physician	077882	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386931764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL HALL MD

Provider Business Mailing Address
First Line	:	6030 HOLLYWOOD BLVD STE 100
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-7923
Country	:	US
Telephone Number	:	954-322-7200
Fax Number	:	954-322-7203

Provider Business Practice Location Address
First Line	:	6030 HOLLYWOOD BLVD STE 100
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-7923
Country	:	US
Telephone Number	:	954-322-7200
Fax Number	:	954-322-7203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2011
Last Update Date	:	04/10/2026

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Directions to “ DR. MICHAEL HALL MD” Practice Location

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