Provider Demographics
NPI:1154465516
Name:HALPERN, EVA (PT)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:HALPERN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:
Other - Last Name:ROEDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2527 WINDGUARD CIR
Mailing Address - Street 2:STE 101
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7347
Mailing Address - Country:US
Mailing Address - Phone:813-541-6075
Mailing Address - Fax:
Practice Address - Street 1:2527 WINDGUARD CIR STE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7347
Practice Address - Country:US
Practice Address - Phone:813-541-6075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT16593174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist