1275826505 NPI number — ASSOCIATED MEDICAL MANAGERS, INC.

Table of content: DR. WILLIAM HALLINAN II PHARMD (NPI 1568270825)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275826505 NPI number — ASSOCIATED MEDICAL MANAGERS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSOCIATED MEDICAL MANAGERS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275826505
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8700 N KENDALL DR
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33176-2206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-595-5350
Provider Business Mailing Address Fax Number:
305-595-3445

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8700 N KENDALL DR
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33176-2206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-595-5350
Provider Business Practice Location Address Fax Number:
305-595-3445
Provider Enumeration Date:
05/19/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SALVANT
Authorized Official First Name:
ALIX
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
305-595-5350

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME0052140 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 043265201 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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