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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780628560 NPPES
Florida Other 46501 BLUE SHIELD
Florida MEDICAID 256042900 BLUE SHIELD

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