Individual
DR. THOMAS W. HAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12780 WATERFORD LAKES PKWY STE 135, ORLANDO, FL 32828-4501
(407) 380-5888
(407) 384-1136
Mailing address
12780 WATERFORD LAKES PKWY STE 135, ORLANDO, FL 32828-4501
(407) 380-5888
(407) 384-1136
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME78909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264333200
—
FL
Enumeration date
10/26/2005
Last updated
05/22/2020
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