MEDICARE: SAFE HAVEN MEDICAL CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1134989007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE HAVEN MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	6187 NW 167TH ST STE H25
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33015-4352
Country	:	US
Telephone Number	:	305-705-5666
Fax Number	:

Provider Business Practice Location Address
First Line	:	6187 NW 167TH ST STE H25
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33015-4352
Country	:	US
Telephone Number	:	305-705-5666
Fax Number	:

Authorized Official
Title or Position	:	OWNER / RN
Name	:	IOSIF BONET SOLIS
Credential	:	RN
Telephone Number	:	305-705-5666

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	09/19/2024

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Directions to “SAFE HAVEN MEDICAL CENTER INC ” Practice Location

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