MEDICARE: ELIAS HALPERT 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	207RR0500X	Rheumatology Physician	ME0075853	FL

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	:	1770572968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIAS HALPERT MD

Provider Business Mailing Address
First Line	:	7431 N UNIVERSITY DR
Second Line	:	SUITE 300
City	:	TAMARAC
State	:	FL
Zip	:	33321-2956
Country	:	US
Telephone Number	:	954-724-5560
Fax Number	:	954-724-5563

Provider Business Practice Location Address
First Line	:	7431 N UNIVERSITY DR
Second Line	:	SUITE 300
City	:	TAMARAC
State	:	FL
Zip	:	33321-2956
Country	:	US
Telephone Number	:	954-724-5560
Fax Number	:	954-724-5563

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	07/08/2007

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Directions to “ ELIAS HALPERT MD” Practice Location

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