Provider Demographics
NPI:1902935067
Name:HAIGHT, ROBERT R JR (MD, MSPH)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:HAIGHT
Suffix:JR
Gender:M
Credentials:MD, MSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 VERROCCHIO DR
Mailing Address - Street 2:
Mailing Address - City:NOKOMIS
Mailing Address - State:FL
Mailing Address - Zip Code:34275-4235
Mailing Address - Country:US
Mailing Address - Phone:941-918-9043
Mailing Address - Fax:
Practice Address - Street 1:642 VERROCCHIO DR
Practice Address - Street 2:
Practice Address - City:NOKOMIS
Practice Address - State:FL
Practice Address - Zip Code:34275-4235
Practice Address - Country:US
Practice Address - Phone:941-918-9043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME870832083P0500X
PAMD059242L2083P0500X
NJMA668272083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine