Individual
DR. JUAN HAYDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 E 25TH ST, EMERGENCY DEPARTMENT, HIALEAH, FL 33013-3814
(305) 693-6100
(904) 346-0113
Mailing address
PO BOX 534221, ATLANTA, GA 30353-4221
(305) 651-2270
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0074492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44978
BCBS
FL
Enumeration date
01/16/2006
Last updated
07/11/2007
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