COLETTE SUSAN HAYWOOD (NPI# 1346545985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346545985 |
| Entity Type | Individual |
| Full Name | COLETTE SUSAN HAYWOOD |
| Credential | M.D. |
| Practice Address |
3415 Lee Blvd Lehigh Acres FL 33971-1576 |
| Mailing Address |
Po Box 919771 Orlando FL 32891-9771 |
| Practice Telephone | 2393442305 |
| Practice Fax Number | 2393682044 |
| Mailing Telephone | 2392783600 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME108878 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003559400 | 05 | |
| FL | BCBS | 14CS6 | 01 |
| Street Address |
3415 LEE BLVD |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33971-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275524670 | Kyle A Smith | Pediatrics | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2005-11-03 |
| 1669096269 | Eva Jones | Nurse Practitioner | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2020-05-31 |
| 1942823661 | Matthew Timothy Downes | Dentist | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2020-05-28 |
| 1922661073 | Family Health Centers of Southwest Florida Inc | Pharmacy | 3415 Lee Blvd, Lehigh Acres, FL 33971 | 2019-04-15 |
| 1871050500 | Linda T Nguyen | Dentist | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2019-02-28 |
| 1275089039 | Gianinna Teresa Folgarait | Internal Medicine | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2016-08-31 |
| 1245785690 | Jesus N Garcia | Podiatrist | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2016-08-15 |
| 1134578859 | Sandra Nairuby De Jesus Medina | Pediatrics | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2016-06-03 |
| 1568821700 | Yvania Y. Jimenez Mauri | Dentist | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2016-02-16 |
| 1508027848 | Family Health Centers of Southwest Florida Inc | Pharmacy | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248096 | Katie L Kozlowski | Behavior Technician | 5220 Lee Boulevard, Bldg 6, Lehigh Acres, FL 33971 | 2020-08-31 |
| 1548821481 | Rosario Assisted Living Facility, Inc | Assisted Living Facility | 2616 22nd St W, Lehigh Acres, FL 33971 | 2019-06-21 |
| 1790340362 | Delia Hernandez | Behavior Technician | 2519 39th Street West, Lehigh Acres, FL 33971 | 2019-05-08 |
| 1669981122 | Ana Claudia Dormann | Specialist/Technologist | 5598 8th St West, Unit 3, Lehigh Acres, FL 33971 | 2017-09-27 |
| 1871803551 | The Joan of Arc Corporation | Day Training, Developmentally Disabled Services | 2618 44th Street West, Lehigh Acres, FL 33971 | 2010-10-15 |
| 1396970737 | Total Renal Care Inc | Clinic/Center | 5705 Lee Blvd Ste 16, Lehigh Acres, FL 33971 | 2009-05-28 |
| 1700039658 | Friendly Group Home Inc. | Day Training, Developmentally Disabled Services | 2602 50th Street West, Lehigh Acres, FL 33971 | 2008-10-23 |
| 1336266485 | Marjorie St.germain | Social Worker | 3709 9th Street Sw, Lehigh Acres, FL 33971 | 2007-03-23 |
| 1194841767 | Stanley Paul Blair | Dentist | 3003 Lee Blvd, Lehigh Acres, FL 33971 | 2007-03-22 |
| 1770652711 | Alan E Spinner | Chiropractor | 2718 Lee Boulevard, Suite C, Lehigh Acres, FL 33971 | 2006-11-06 |
| Find all providers in zip 33971 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578934121 | Juan Armando Badia | Family Medicine | 687 Williams Avenue, Lehigh Acres, FL 33972 | 2015-10-08 |
| 1912077538 | Andre Nye | Family Medicine | 5705 Lee Blvd Ste 1, Lehigh Acres, FL 33971-6342 | 2006-11-09 |
| 1922113174 | Robert Vernon Wallace | Family Medicine | 400 Lee Blvd, Lehigh Acres, FL 33936-4923 | 2006-08-20 |
| 1184671034 | Axel Ruiz-tellez | Family Medicine | 2724 5th St W Ste C, Lehigh Acres, FL 33971-1574 | 2006-05-27 |
| 1396736997 | Tasha B Wallace | Family Medicine | 3400 Lee Blvd, Suite 108, Lehigh Acres, FL 33971-1309 | 2005-11-02 |
| 1497742936 | R Michael Tucker | Family Medicine | 60 Westminster St N, Suite A, Lehigh Acres, FL 33936-6518 | 2005-09-30 |
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| 1689672602 | Personal Family Health Care | Family Medicine | 391 Lee Blvd, 400, Lehigh Acres, FL 33936-4973 | 2005-07-13 |
| 1710586847 | Gulf Coast Healthcare Center, Inc. | Family Medicine | 2724 5th St W Ste C, Lehigh Acres, FL 33971-1581 | 2020-10-20 |
| 1053951996 | Carolina Pavon | Family Medicine | 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537 | 2020-01-08 |
| Find all providers in LEHIGH ACRES | ||||
| City | LEHIGH ACRES |
| Zip Code | 33971 |
Please comment or provide details below to improve the information on COLETTE SUSAN HAYWOOD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.