Provider Demographics
NPI:1356552459
Name:HAYASHIDA, DELIA K (MD)
Entity type:Individual
Prefix:
First Name:DELIA
Middle Name:K
Last Name:HAYASHIDA
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 1:1470 R NW 107 AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2735
Mailing Address - Country:US
Mailing Address - Phone:305-477-5000
Mailing Address - Fax:305-477-0081
Practice Address - Street 1:1470 R NW 107 AVE
Practice Address - Street 2:R
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-2735
Practice Address - Country:US
Practice Address - Phone:305-477-5000
Practice Address - Fax:305-477-0081
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0041676174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96321VMedicare ID - Type Unspecified