Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEMETRIUS ANTWAN HAYNES
Active Sole ProprietorDEMETRIUS ANTWAN HAYNES is a Assisted Living Facility healthcare provider located in LAKELAND, Florida. NPI 1619844800 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · LAKELAND, FL
Registration Details
- NPI Number
- 1619844800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2025 (0.79137651861888 yrs)
- Last Updated
- Oct 21, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
203 TARAWA STLAKELAND, FL, 338052950Browse FL providers · Browse ZIP 33805
- Phone
- 6467177222
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| JASON LEWIS | — | 1265116834 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.