person
Earlie Owens Hairston II, DPM
Foot & Ankle Surgery Podiatrist in Brooksville, Florida
NPI 1205832854

Earlie Owens Hairston II is a Foot & Ankle Surgery Podiatrist based in Brooksville, FL and is specialized in Foot & Ankle Surgery. Earlie Owens Hairston II practices in Brooksville, FL and has the professional credentials of DPM. The NPI Number for Earlie Owens Hairston II is 1205832854 and holds a License No. PO3162 (Florida).

The current practice location address for Earlie Owens Hairston II is 12900 Cortez Blvd Ste 102, Brooksville, FL and can be reached out via phone at 352-683-6618 and via fax at 352-683-5722.

Location: 12900 Cortez Blvd Ste 102, Brooksville, FL, 34613-6897
person
Provider Profile Details
NPI Number
1205832854
Provider Name
Earlie Owens Hairston II
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
12900 Cortez Blvd Ste 102, Brooksville, FL, 34613-6897
Phone Number
352-683-6618
Fax Number
352-683-5722
Provider Enumeration Date
06/27/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
340486200 05 FL
institution
Provider Business Practice Location Address Details
Address
12900 Cortez Blvd Ste 102
City
State
Zip
34613-6897
Phone Number
352-683-6618
Fax Number
352-683-5722
person
Provider Business Mailing Address Details
Address
12900 Cortez Blvd Ste 102
City
State
Zip
34613-6897
Phone Number
352-683-6618
Fax Number
352-683-5722
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO3162 (Florida)
Definition
Definition to come...
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