MEDICARE: SNF SOUTH FLORIDA 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1982244992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNF SOUTH FLORIDA INC

Provider Business Mailing Address
First Line	:	5660 STRAND CT STE 302
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-3343
Country	:	US
Telephone Number	:	305-231-1204
Fax Number	:	305-901-1482

Provider Business Practice Location Address
First Line	:	6915 S RED RD STE 215A
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3636
Country	:	US
Telephone Number	:	305-231-1204
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GHASSAN G HADDAD
Credential	:	MD
Telephone Number	:	305-231-1204

Provider Enumeration Date	:	01/08/2020
Last Update Date	:	01/08/2020

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Directions to “SNF SOUTH FLORIDA INC ” Practice Location

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