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NPI Code Detail

MEDICARE: ERIC ALLEN HALL DO

MEDICARE: ERIC ALLEN HALL DO
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
1207P00000XEmergency Medicine Physician02008309AIN
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417607714
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC ALLEN HALL DO
Provider Business Mailing Address
First Line : PO BOX 100186
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-0186
Country : US
Telephone Number : 352-265-5911
Fax Number : 352-265-5606
Provider Business Practice Location Address
First Line : 600 E DIXIE AVE
Second Line :
City : LEESBURG
State : FL
Zip : 34748-5925
Country : US
Telephone Number : 352-323-5467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2022
Last Update Date : 01/10/2026

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Directions to “ ERIC ALLEN HALL DO” Practice Location

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