Healthcare Provider Details

I. General information

NPI: 1518135268
Provider Name (Legal Business Name): MICHAEL HALPRIN M.N.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 02/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2012 VERNON PL SUITE 101
MELBOURNE FL
32901-5493
US

IV. Provider business mailing address

2012 VERNON PL SUITE 101
MELBOURNE FL
32901-5493
US

V. Phone/Fax

Practice location:
  • Phone: 321-951-9300
  • Fax: 321-951-9320
Mailing address:
  • Phone: 321-951-9300
  • Fax: 321-951-9320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number0935042
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number0935042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: