Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Haley Hall, PA

Individual provider Physician Assistant · NPI 1619618428

Haley Hall, PA is a Physician Assistant in Bradenton, Florida. Qualified in 2022, 4 years ago. Practices with Florida Vein Center, Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5215 E State Road 64
Bradenton, FL 34208-5533
Phone: (941) 907-3400
Fax: (941) 907-4202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4051 Upper Creek Dr Ste 108, Sun City Center, FL 33573-6825 — (941) 907-3400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9115721 (FL)

Record details

NPI number1619618428
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address6131 164th Ave E, Parrish, FL 34219-4305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Florida Vein Center, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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