Healthcare Provider Details

I. General information

NPI: 1154384220
Provider Name (Legal Business Name): OSVALDO HALPHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 01/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ARTHUR GODFREY RD 2ND FLOOR
MIAMI BEACH FL
33140-3516
US

IV. Provider business mailing address

400 ARTHUR GODFREY RD 2ND FLOOR
MIAMI BEACH FL
33140-3516
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-5445
  • Fax:
Mailing address:
  • Phone: 305-532-5445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME0028895
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: