Provider Demographics
NPI:1679548127
Name:HAYET, BILL (MD)
Entity type:Individual
Prefix:DR
First Name:BILL
Middle Name:
Last Name:HAYET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 SE 12TH ST
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-7107
Mailing Address - Country:US
Mailing Address - Phone:732-610-1698
Mailing Address - Fax:
Practice Address - Street 1:1507 SE 12TH ST
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-7107
Practice Address - Country:US
Practice Address - Phone:732-610-1698
Practice Address - Fax:954-335-5606
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME154001207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ317680Medicaid
NJ065452Medicare ID - Type Unspecified
NJ317680Medicaid