MEDICARE: DR. THOMAS A HAFFEY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	24470	CO
2	207RC0000X	Cardiovascular Disease Physician	OS20251	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	414698YPNQ	OTHER	CO	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063400166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS A HAFFEY D.O.

Provider Business Mailing Address
First Line	:	4900 S MONACO ST STE 210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-3487
Country	:	US
Telephone Number	:	303-252-0104
Fax Number	:	303-920-2181

Provider Business Practice Location Address
First Line	:	7754 BAY ST STE 6&7
Second Line	:
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3427
Country	:	US
Telephone Number	:	772-589-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	08/23/2024

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Directions to “ DR. THOMAS A HAFFEY D.O.” Practice Location

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