Provider Demographics
NPI:1790885390
Name:HAYWOOD, ARLENE E (MD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:E
Last Name:HAYWOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6971 W SUNRISE BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-4407
Mailing Address - Country:US
Mailing Address - Phone:954-583-3500
Mailing Address - Fax:954-583-3512
Practice Address - Street 1:6971 W SUNRISE BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-4407
Practice Address - Country:US
Practice Address - Phone:954-583-3500
Practice Address - Fax:954-583-3512
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL036671208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL065110900Medicaid