Individual
DR. WILLIAM MICHAEL HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 TWIN CITIES BLVD, SUITE C, NICEVILLE, FL 32578
(850) 678-6601
(850) 678-0842
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0055821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0962610
CIGNA
FL
01
—
1264796
WELLCARE
FL
01
—
17735
BCBS
FL
01
—
335393
AVMED
FL
05
—
370716400
—
FL
01
—
4670210
AETNA
FL
01
—
P01649450
RR MEDICARE
FL
Enumeration date
06/03/2006
Last updated
11/17/2016
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