MEDICARE: JOSHUA ANDREAS JENO HAGGENMACHER MD

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	207R00000X	Internal Medicine Physician	ME175084	FL

General Provider Information

NPI Number	:	1649920190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA ANDREAS JENO HAGGENMACHER MD

Provider Business Mailing Address
First Line	:	2101 W COMMERCIAL BLVD STE 5100
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3055
Country	:	US
Telephone Number	:	954-730-9300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 W COMMERCIAL BLVD STE 5100
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3055
Country	:	US
Telephone Number	:	954-730-9300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2022
Last Update Date	:	07/24/2025

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