Healthcare Provider Details

I. General information

NPI: 1003045535
Provider Name (Legal Business Name): OSVALDO HALPHEN M D P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2009
Last Update Date: 05/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4308 ALTON RD SUITE 320
MIAMI BEACH FL
33140-4556
US

IV. Provider business mailing address

4308 ALTON RD SUITE 320
MIAMI BEACH FL
33140-4556
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-5445
  • Fax: 305-532-5512
Mailing address:
  • Phone: 305-532-5445
  • Fax: 305-532-5512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME0028895
License Number StateFL

VIII. Authorized Official

Name: DR. OSVALDO HALPHEN
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 305-532-5445