MEDICARE: HAAN HEALTH CENTERS LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1871323816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAAN HEALTH CENTERS LLC

Provider Business Mailing Address
First Line	:	1065 NE 125TH ST STE 102
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-5831
Country	:	US
Telephone Number	:	954-404-8141
Fax Number	:	954-404-8142

Provider Business Practice Location Address
First Line	:	1065 NE 125TH ST STE 102
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-5831
Country	:	US
Telephone Number	:	954-404-8141
Fax Number	:	954-404-8142

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	CEDRIC E DAVIS
Credential	:	MD
Telephone Number	:	786-277-1621

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	08/28/2024

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