Provider Demographics
NPI:1720223514
Name:HONEYSETT, HALEY (AP)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:HONEYSETT
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 RIVERSIDE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4123
Mailing Address - Country:US
Mailing Address - Phone:904-304-5011
Mailing Address - Fax:
Practice Address - Street 1:1050 RIVERSIDE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4123
Practice Address - Country:US
Practice Address - Phone:904-304-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2603171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist