Individual
DR. MARY K HAYES-MACALUSO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
(954) 437-6628
Mailing address
9050 PINES BLVD, STE 200, PEMBROKE PINES, FL 33024-6456
(954) 437-4800
(954) 437-6628
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME61920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17832
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/23/2005
Last updated
07/08/2007
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