Provider Demographics
NPI:1427023035
Name:HAIGH, LINDA SANDERS (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:SANDERS
Last Name:HAIGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:SANDERS
Other - Last Name:HAIGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3636 UNIVERSITY BLVD S
Mailing Address - Street 2:BLDG C
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4250
Mailing Address - Country:US
Mailing Address - Phone:904-731-1711
Mailing Address - Fax:904-731-9270
Practice Address - Street 1:3636 UNIVERSITY BLVD S
Practice Address - Street 2:BLDG C
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4250
Practice Address - Country:US
Practice Address - Phone:904-731-1711
Practice Address - Fax:904-731-9270
Is Sole Proprietor?:No
Enumeration Date:2006-02-18
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89185208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA251030345AMedicaid
FL268455100Medicaid
FLP00071172Medicare PIN
FL268455100Medicaid
FL68775YMedicare PIN