MEDICARE: DR. MITCHELL S HALPERIN 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
1	207RC0000X	Cardiovascular Disease Physician	ME48810	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	593687303	OTHER	FL	TAX ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225079890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITCHELL S HALPERIN M.D.

Provider Business Mailing Address
First Line	:	10065 CORTEZ BLVD
Second Line	:
City	:	WEEKI WACHEE
State	:	FL
Zip	:	34613-6389
Country	:	US
Telephone Number	:	352-596-4660
Fax Number	:	352-596-4674

Provider Business Practice Location Address
First Line	:	4322 RIVER BIRCH DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34607-2514
Country	:	US
Telephone Number	:	352-279-0183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/21/2022

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