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Individual

HALEY CORRINE DILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1222 S ORANGE AVE FL 4, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 445-3515
Mailing address
1222 S ORANGE AVE FL 4, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 445-3515

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9116372
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117701200
FL
Enumeration date
12/30/2022
Last updated
07/01/2024
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