Provider Demographics
NPI:1710937537
Name:HAYES, WILLIAM A (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:HAYES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 WINKLER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:877-856-3774
Mailing Address - Fax:
Practice Address - Street 1:1708 CAPE CORAL PKWY W
Practice Address - Street 2:UNIT 1
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6985
Practice Address - Country:US
Practice Address - Phone:239-540-1495
Practice Address - Fax:239-549-1080
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0005963207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL78101OtherAETNA PROVIDER NUMBER
FL80399OtherBC/BS OF FLORIDA PROVIDER
FLOS5963OtherMETCARE PROVIDER NUMBER
FL80399OtherBC/BS OF FLORIDA PROVIDER
FL78101OtherAETNA PROVIDER NUMBER
FLE66950Medicare UPIN