MEDICARE: HALEY DOROTHY CALHOUN APRN, FNP-C

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	363LF0000X	Family Nurse Practitioner	11040327	FL

General Provider Information

NPI Number	:	1255228060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY DOROTHY CALHOUN APRN, FNP-C

Provider Business Mailing Address
First Line	:	320 KIWANIS CIR
Second Line	:
City	:	CHULUOTA
State	:	FL
Zip	:	32766-9637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 AVALON PARK WEST BLVD STE 205
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-4809
Country	:	US
Telephone Number	:	407-303-6285
Fax Number	:

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

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	08/07/2025

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