Provider Demographics
NPI:1972779809
Name:FINEBERG, HALEY EHREN (OD)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:EHREN
Last Name:FINEBERG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1652 SW 103RD LN
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7467
Mailing Address - Country:US
Mailing Address - Phone:954-474-5520
Mailing Address - Fax:
Practice Address - Street 1:1652 SW 103RD LN
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-7467
Practice Address - Country:US
Practice Address - Phone:954-474-5520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC0002904152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist