Provider Demographics
NPI:1851374755
Name:HALASZ, STEVEN P (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:P
Last Name:HALASZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4369 TAMIAMI TRL
Mailing Address - Street 2:STE. A
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33980-2118
Mailing Address - Country:US
Mailing Address - Phone:941-629-3366
Mailing Address - Fax:941-629-6999
Practice Address - Street 1:4369 TAMIAMI TRL
Practice Address - Street 2:STE. A
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-2118
Practice Address - Country:US
Practice Address - Phone:941-629-3366
Practice Address - Fax:941-629-6999
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0068379207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1851374755OtherNPI
FLG12086Medicare UPIN
FL27405YMedicare ID - Type Unspecified