Hayes, Edwin Bruce

Hayes, Edwin Bruce is an sole proprietor health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Hayes, Edwin Bruce can be contacted via phone (407) 975-0406.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (407) 975-0406
Fax: (407) 975-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME69221 Florida
Other Service Providers / Specialist 174400000X ME69211 Florida

Profile Details

NPI number 1710977988
LBN Legal business name Hayes, Edwin Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Jan 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710977988 NPPES
Florida MEDICAID 259101400

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