Individual
DR. DELICIA M HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1898 S CLYDE MORRIS BLVD, SUITE 360, DAYTONA BEACH, FL 32119-1584
(386) 492-1064
Mailing address
788 IOWA ST, DAYTONA BEACH, FL 32114-1428
(386) 492-1064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME97456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME97456
MEDICAL LICENSE
FL
Enumeration date
12/29/2006
Last updated
05/01/2009
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