Provider Demographics
NPI:1184632713
Name:HAYES, PAUL E II (BS)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:E
Last Name:HAYES
Suffix:II
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 COURTLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-2536
Mailing Address - Country:US
Mailing Address - Phone:386-789-8356
Mailing Address - Fax:386-789-8356
Practice Address - Street 1:2516 COURTLAND BLVD
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-2536
Practice Address - Country:US
Practice Address - Phone:386-789-8356
Practice Address - Fax:386-789-8356
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor