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Individual

LISA C HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
901 E BLOOMINGDALE AVE STE 501, BRANDON, FL 33511-8118
(813) 699-3995
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(813) 689-7571
(813) 654-8129

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS12662
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011818200
FL
Enumeration date
03/29/2011
Last updated
03/17/2025
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