Provider Demographics
NPI:1518135268
Name:HALPRIN, MICHAEL (MN)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:HALPRIN
Suffix:
Gender:M
Credentials:MN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 VERNON PL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-5493
Mailing Address - Country:US
Mailing Address - Phone:321-951-9300
Mailing Address - Fax:321-951-9320
Practice Address - Street 1:2012 VERNON PL
Practice Address - Street 2:SUITE 101
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-5493
Practice Address - Country:US
Practice Address - Phone:321-951-9300
Practice Address - Fax:321-951-9320
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0935042364SF0001X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health