Individual
MS. SYLVIA VICTORIA HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7501 LYNCREST ST, NORTH PORT, FL 34287-5535
(941) 423-9836
Mailing address
7501 LYNCREST ST, NORTH PORT, FL 34287-5535
(941) 423-9836
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
6906057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142814400
—
FL
Enumeration date
07/24/2008
Last updated
08/04/2008
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