Provider Demographics
NPI:1366738650
Name:HYLAND, ELEANOR W
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:W
Last Name:HYLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 SPANISH DR N
Mailing Address - Street 2:
Mailing Address - City:LONGBOAT KEY
Mailing Address - State:FL
Mailing Address - Zip Code:34228-1627
Mailing Address - Country:US
Mailing Address - Phone:585-733-0030
Mailing Address - Fax:
Practice Address - Street 1:925 SPANISH DR N
Practice Address - Street 2:
Practice Address - City:LONGBOAT KEY
Practice Address - State:FL
Practice Address - Zip Code:34228-1627
Practice Address - Country:US
Practice Address - Phone:585-733-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider