Provider Demographics
NPI:1689088866
Name:HAYLES, YOSKATTY (BA)
Entity Type:Individual
Prefix:MRS
First Name:YOSKATTY
Middle Name:
Last Name:HAYLES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 RAVIDA CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-5573
Mailing Address - Country:US
Mailing Address - Phone:321-352-1715
Mailing Address - Fax:
Practice Address - Street 1:1323 RAVIDA CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-5573
Practice Address - Country:US
Practice Address - Phone:407-733-4217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management