Provider Demographics
NPI:1326648080
Name:HALGAS, ROBERT C II (MS CEP)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:C
Last Name:HALGAS
Suffix:II
Gender:M
Credentials:MS CEP
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:C
Other - Last Name:HALGAS
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:BOBBY
Mailing Address - Street 1:5570 SPECTRA CIR APT 201
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-5392
Mailing Address - Country:US
Mailing Address - Phone:609-707-0904
Mailing Address - Fax:
Practice Address - Street 1:5570 SPECTRA CIR APT 201
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-5392
Practice Address - Country:US
Practice Address - Phone:609-707-0904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL877990224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist