| Doctor Name: | JEREMY DAVID HAVAS |
| NPI Number: | 1043203003 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | 0007352 |
| Business Practice Address: | 1902 Westover Reserve Blvd Windermere, FL - 347866221 |
| Business Phone Number: | 3527955862 |
| Business Fax Number: | 3527959262 |
| Mailing Address: | Po Box 2463, CRYSTAL RIVER |
| State: | FL |
| Postal Code: | 344232463 |
| Phone Number: | 3527955862 |
| Fax Number: | 3527959262 |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 07/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 0007352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |