| Internal Medicine & Endocrinology Of South West Florida Pllc | |
|
713 E Marion Ave Ste 127 Punta Gorda FL 33950-3862 | |
| (941) 676-2424 | |
| Not Available |
| Full Name | Internal Medicine & Endocrinology Of South West Florida Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 713 E Marion Ave Ste 127, Punta Gorda, Florida |
| Authorized Official Name and Position | Steven Halasz (OWNER) |
| Authorized Official Contact | 9416762424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Endocrinology Of South West Florida Pllc 713 E Marion Ave Ste 127 Punta Gorda FL 33950-3862 Ph: (941) 676-2424 | Internal Medicine & Endocrinology Of South West Florida Pllc 713 E Marion Ave Ste 127 Punta Gorda FL 33950-3862 Ph: (941) 676-2424 |
| NPI Number | 1669970315 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 01/29/2018 |
| Medicare PECOS PAC ID | 9133481849 |
|---|---|
| Medicare Enrollment ID | O20180316001212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669970315 | NPI | - | NPPES |
| ME68379 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME38379 (Florida) | Primary |
| Provider Name | Steven P Halasz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851374755 PECOS PAC ID: 3476652934 Enrollment ID: I20070625000123 |
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