Organization
BELLEAIR WELLNESS CENTER & SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERYL MARIE HAYNES D.O. (DOCTOR/OWNER)
(727) 584-8020
Entity
Organization
Contact information
Practice address
2130 W BAY DR, LARGO, FL 33770-1927
(727) 584-8020
(727) 584-8023
Mailing address
2130 W BAY DR, LARGO, FL 33770-1927
(727) 584-8020
(727) 584-8023
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS4234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065614300
—
FL
Enumeration date
02/04/2015
Last updated
03/25/2015
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