Provider Demographics
NPI:1871814962
Name:HAYES, MELINDA JOYCE
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:JOYCE
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3226 DELRAY DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-6530
Mailing Address - Country:US
Mailing Address - Phone:813-628-0114
Mailing Address - Fax:
Practice Address - Street 1:3226 DELRAY DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-6530
Practice Address - Country:US
Practice Address - Phone:813-384-0070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-12
Last Update Date:2010-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker