Individual
DR. DAMIEN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5935 W IRLO BRONSON HWY, KISSIMMEE, FL 34746-4765
(407) 396-1006
Mailing address
8419 TITKOS DR APT 202, KISSIMMEE, FL 34747-3322
(352) 514-7708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41889
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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