Provider Demographics
NPI:1386250868
Name:HAYNES, ALBERT ZAID JR (AP)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:ZAID
Last Name:HAYNES
Suffix:JR
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:730 TURKEY SCRATCH RD
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:FL
Mailing Address - Zip Code:32344-5328
Mailing Address - Country:US
Mailing Address - Phone:850-727-2614
Mailing Address - Fax:850-385-7603
Practice Address - Street 1:1381A CROSS CREEK CIR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-3729
Practice Address - Country:US
Practice Address - Phone:850-727-2614
Practice Address - Fax:850-385-7603
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-19
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAP0000039171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist