Individual
DR. BOBBY RAY HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
180 PATRICIA AVE, DUNEDIN, FL 34698-8103
(727) 733-4193
(727) 736-3609
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 532-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS2920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00316166
RAILROAD MEDICARE NUMBER
FL
Enumeration date
05/09/2006
Last updated
07/08/2007
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