Individual
DR. JOHN CARLISLE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10225 ULMERTON ROAD, SUITE 4 C, LARGO, FL 33771-3520
(727) 585-6658
(727) 586-7576
Mailing address
17541 2ND STREET EAST, REDINGTON SHORES, FL 33708-1225
(727) 397-6297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9619
FL
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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