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General NPI Number Information
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NPI Number | 1386931764
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Entity Type | Individual
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Provider Name | MICHAEL HALL MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 5995 SW 71ST ST # 1B
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3531
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Country | US
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Telephone | 305-669-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 5995 SW 71ST ST # 1B
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3531
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Country | US
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Telephone | 305-669-6833
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Fax | 305-666-4030
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME120828
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 077882
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License Number State | GA
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