Provider Demographics
NPI:1912999061
Name:HADEED, JOSEPH C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:HADEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6574 N STATE ROAD 7
Mailing Address - Street 2:#393
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3625
Mailing Address - Country:US
Mailing Address - Phone:954-247-4829
Mailing Address - Fax:954-344-7384
Practice Address - Street 1:9423 ASTON GARDENS CT
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-4101
Practice Address - Country:US
Practice Address - Phone:954-247-4829
Practice Address - Fax:954-344-7384
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 56238207RG0300X
FLME56238207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL09927XMedicare PIN
FLF07019Medicare UPIN