Provider Demographics
NPI:1194713651
Name:HAIGHT, DANIEL O (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:O
Last Name:HAIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1324 LAKELAND HILLS BLVD
Mailing Address - Street 2:MANAGED CARE DEPT
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805
Mailing Address - Country:US
Mailing Address - Phone:863-687-1100
Mailing Address - Fax:863-630-6528
Practice Address - Street 1:1324 LAKELAND HILLS BLVD
Practice Address - Street 2:MANAGED CARE DEPT
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805
Practice Address - Country:US
Practice Address - Phone:863-687-1321
Practice Address - Fax:863-603-6534
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2022-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME66263207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL376111800Medicaid
FL25997OtherBCBS
FL376111800Medicaid
FL25997OtherBCBS
FL110122972Medicare PIN