MEDICARE: EMILY ANN HALFAKER CRNA

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	363L00000X	Nurse Practitioner	APRN11044949	FL
2	367500000X	Certified Registered Nurse Anesthetist	APRN11044949	FL

General Provider Information

NPI Number	:	1710836440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ANN HALFAKER CRNA

Provider Business Mailing Address
First Line	:	13235 SW 114TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-7913
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 SW 73RD ST
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4679
Country	:	US
Telephone Number	:	305-229-4324
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	03/20/2026

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