Provider Demographics
NPI:1588622211
Name:HAFT, BRIAN IRA (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:IRA
Last Name:HAFT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11406 OKEECHOBEE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8715
Mailing Address - Country:US
Mailing Address - Phone:561-798-2020
Mailing Address - Fax:561-795-0253
Practice Address - Street 1:11406 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8715
Practice Address - Country:US
Practice Address - Phone:561-798-2020
Practice Address - Fax:561-795-0253
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME46935207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D21040Medicare UPIN