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Individual
MR. DERRICK VAN HAILE II
Active
Individual
MR. DERRICK VAN HAILE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
RN9484004
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11045161
FL
Other
Enumeration date
12/16/2025
Last updated
01/30/2026
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