Brent Hayden, M.D.,P.A.
LBN: Brent Hayden, M.D.,P.A.
Brent Hayden, M.D.,P.A. is an health care organization with primary practice located at 733 Sw State Road 47 , Lake City FL 32025-0453. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Brent Hayden, M.D.,P.A. can be contacted via phone (386) 755-0645, or through Hayden, Donald Brent via phone (386) 755-0645.
Contact Information
Primary practice address
733 Sw State Road 47
Lake City FL 32025-0453
Phone: (386) 755-0645
Fax: (386) 961-9541
Website:
Authorized official contact:
Name: Hayden, Donald Brent Doctor of Medicine (MD)
Phone: (386) 755-0645
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
Profile Details
| NPI number | 1326373606 |
|---|---|
| LBN Legal business name | Brent Hayden, M.D.,P.A. |
| DBA Doing business as | |
| Authorized official | Hayden, Donald Brent Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2009 |
| Last updated | Dec 18th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326373606 | NPPES |
| Florida | Other | ME0043394 | STATE LICENCE NUMBER |
| Florida | Other | 12066 | STATE LICENCE NUMBER |
| Florida | MEDICAID | 041891900 | STATE LICENCE NUMBER |
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