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NPI Code Detail

MEDICARE: DR. CARY HALL M.D.

MEDICARE: DR. CARY HALL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2002026270MO

General Provider Information

NPI Number : 1184679326
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARY HALL M.D.
Provider Business Mailing Address
First Line : 861 SW 78TH AVE
Second Line : SUITE #100B
City : PLANTATION
State : FL
Zip : 33324-3229
Country : US
Telephone Number : 954-693-0000
Fax Number : 954-693-0005
Provider Business Practice Location Address
First Line : 1395 S PINELLAS AVE
Second Line : EMERGENCY DEPARTMENT
City : TARPON SPRINGS
State : FL
Zip : 34689-3790
Country : US
Telephone Number : 727-942-5000
Fax Number : 727-942-5121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 12/18/2017

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