Provider Demographics
NPI:1437371218
Name:KREITMAN, HAL M (DC)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:M
Last Name:KREITMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 ALTON RD
Mailing Address - Street 2:SUITE 620
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3301
Mailing Address - Country:US
Mailing Address - Phone:786-514-7138
Mailing Address - Fax:
Practice Address - Street 1:1000 LINCOLN RD
Practice Address - Street 2:SUITE 240
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2500
Practice Address - Country:US
Practice Address - Phone:786-514-7138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH0007009OtherLICENSE NUMBER
FL55318OtherBLUE CROSS
FLCH0007009OtherLICENSE NUMBER
FL55318Medicare ID - Type Unspecified