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Individual
MICHAEL L HAYNES
Active
Individual
MICHAEL L HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP1839
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC1839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078920801
—
FL
01
—
21851
BCBS
FL
Enumeration date
06/24/2005
Last updated
08/01/2012
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