MEDICARE: DR. JOSEPH E HAAS M.D.

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	174400000X	Specialist	ME66537	FL

General Provider Information

NPI Number	:	1770508061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH E HAAS M.D.

Provider Business Mailing Address
First Line	:	2454 N MCMULLEN BOOTH RD
Second Line	:	SUITE 427
City	:	CLEARWATER
State	:	FL
Zip	:	33759-1353
Country	:	US
Telephone Number	:	727-723-2442
Fax Number	:	727-796-7350

Provider Business Practice Location Address
First Line	:	2454 N MCMULLEN BOOTH RD
Second Line	:	SUITE 427
City	:	CLEARWATER
State	:	FL
Zip	:	33759-1353
Country	:	US
Telephone Number	:	727-723-2442
Fax Number	:	727-796-7350

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	11/05/2009

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