Individual
ERIC R HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4807 US HIGHWAY 19 STE 102, NEW PORT RICHEY, FL 34652-4260
(727) 846-7618
(727) 849-7090
Mailing address
4807 US HIGHWAY 19 STE 102, NEW PORT RICHEY, FL 34652-4260
(727) 846-7618
(727) 849-7090
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME0057444
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME0057444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016560200
—
FL
Enumeration date
03/08/2006
Last updated
04/22/2024
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