Individual
MOSE SIM HAYES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 MACK BAYOU LOOP, SUITE 1000, SANTA ROSA BEACH, FL 32459-2613
(850) 622-0873
(850) 622-1912
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 622-0873
(850) 622-1912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME109768
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME109768
FL
Other
Enumeration date
09/11/2007
Last updated
02/21/2014
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