Individual
DR. EDWIN BRUCE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(407) 975-0406
(407) 975-0407
Mailing address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(407) 975-0406
(407) 975-0407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME69211
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME69221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259101400
—
FL
Enumeration date
10/27/2005
Last updated
01/28/2020
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