Provider Demographics
NPI:1598985236
Name:HALPERIN, MATTHEW F (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:F
Last Name:HALPERIN
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 1:2817 HAMPTON PLACE CT
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566-9320
Mailing Address - Country:US
Mailing Address - Phone:813-404-5225
Mailing Address - Fax:813-871-5990
Practice Address - Street 1:1931 W. MLK BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-879-4878
Practice Address - Fax:813-871-5990
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6331111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor