Healthcare Provider Details

I. General information

NPI: 1487683801
Provider Name (Legal Business Name): DAVID ERIC HALPERN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S FREMONT AVE
TAMPA FL
33606-1703
US

IV. Provider business mailing address

120 S FREMONT AVE
TAMPA FL
33606-1703
US

V. Phone/Fax

Practice location:
  • Phone: 813-871-5000
  • Fax: 813-250-0108
Mailing address:
  • Phone: 813-871-5000
  • Fax: 813-250-0108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberME78789
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: