Healthcare Provider Details

I. General information

NPI: 1770945180
Provider Name (Legal Business Name): HALLEY CHRISTINE FRANCIS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HALLEY CHRISTINE SULLIVAN DO

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 SWANSON AVE
MIAMI FL
33133-3937
US

IV. Provider business mailing address

2320 SWANSON AVE
MIAMI FL
33133-3937
US

V. Phone/Fax

Practice location:
  • Phone: 786-254-1280
  • Fax: 855-841-8080
Mailing address:
  • Phone: 786-254-1280
  • Fax: 855-841-8080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.068961
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.147177
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License NumberOS18293
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS18293
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: