Healthcare Provider Details

I. General information

NPI: 1174549398
Provider Name (Legal Business Name): BRUCE HARWOOD HAUGHEY MBCHB MS FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 SW 1ST AVE
OCALA FL
34471-6500
US

IV. Provider business mailing address

1811 E BAREFOOT PL FL 32963
VERO BEACH FL
32963-4548
US

V. Phone/Fax

Practice location:
  • Phone: 352-401-1000
  • Fax: 352-401-1092
Mailing address:
  • Phone: 314-440-1415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberME126033
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberR1J88
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME126033
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: