Haynes, Terry-Ann S
Haynes, Terry-Ann S is an individual health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Haynes, Terry-Ann S can be contacted via phone (954) 987-2000.Contact Information
Primary practice address
3501 Johnson St
Hollywood FL 33021-5421
Phone: (954) 987-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME0076828 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | ME76828 | Florida |
Profile Details
NPI number | 1780628560 |
---|---|
LBN Legal business name | Haynes, Terry-Ann S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Mar 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780628560 | NPPES |
Florida | Other | 46501 | BLUE SHIELD |
Florida | MEDICAID | 256042900 | BLUE SHIELD |
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