Healthcare Provider Details

I. General information

NPI: 1841399318
Provider Name (Legal Business Name): JAMES A HALIKAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JAMES HALIKAS MD

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 04/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 PARK CENTRAL COURT
NAPLES FL
34109-6004
US

IV. Provider business mailing address

5445 PARK CENTRAL COURT
NAPLES FL
34109-6004
US

V. Phone/Fax

Practice location:
  • Phone: 239-592-7535
  • Fax: 239-592-5987
Mailing address:
  • Phone: 239-592-7535
  • Fax: 239-592-5987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberME0069324
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberME0069324
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME0069324
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME0069324
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberME0069324
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME69324
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberME69324
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME69324
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License NumberME69324
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: