Healthcare Provider Details

I. General information

NPI: 1417139189
Provider Name (Legal Business Name): JAMES HALIKAS MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 04/08/2013
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 TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES A. HALIKAS
Title or Position: OWNER
Credential: M.D.
Phone: 239-592-7535