Healthcare Provider Details

I. General information

NPI: 1508819558
Provider Name (Legal Business Name): ABRAHAM HALFEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 N KENDALL DR SUITE 103
MIAMI FL
33176-2144
US

IV. Provider business mailing address

8950 N KENDALL DR SUITE 103
MIAMI FL
33176-2144
US

V. Phone/Fax

Practice location:
  • Phone: 305-596-4013
  • Fax: 305-596-4557
Mailing address:
  • Phone: 305-596-4013
  • Fax: 305-596-4557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberME83530
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: