Healthcare Provider Details

I. General information

NPI: 1023038833
Provider Name (Legal Business Name): HAL ESCOWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 LAKELAND HILLS BLVD
LAKELAND FL
33805-4543
US

IV. Provider business mailing address

5337 BLOOMFIELD BLVD
LAKELAND FL
33810-8271
US

V. Phone/Fax

Practice location:
  • Phone: 863-687-1132
  • Fax: 863-687-1439
Mailing address:
  • Phone: 863-815-2828
  • Fax: 727-507-3618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME81690
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: