Healthcare Provider Details

I. General information

NPI: 1023760485
Provider Name (Legal Business Name): CAAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 01/26/2022
Certification Date: 01/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1086 KANE CONCOURSE
BAY HARBOR ISLANDS FL
33154-2107
US

IV. Provider business mailing address

1086 KANE CONCOURSE
BAY HARBOR ISLANDS FL
33154-2107
US

V. Phone/Fax

Practice location:
  • Phone: 954-649-6262
  • Fax:
Mailing address:
  • Phone: 954-649-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROLINE HASID
Title or Position: PHARMACY MANAGER/OWNER
Credential: PHARMD
Phone: 954-649-6262