Individual
BRIAN ELLIOTT HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7301A W PALMETTO PARK RD STE 305A, BOCA RATON, FL 33433-3466
(561) 372-9161
(877) 651-1244
Mailing address
8180 NW 125TH LN, PARKLAND, FL 33076-4964
(260) 458-4225
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01057598B
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
ME122922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IH826Z
MEDICARE
FL
Enumeration date
07/28/2005
Last updated
06/28/2023
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