Haxmon Medical Services P LLC LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

HAXMON MEDICAL SERVICES P LLC LLC

Practice address

1201 N 37TH Ave Ste 100
Hollywood, FL 33021-5414

Phone

(305) 562-8090

Fax

(888) 818-1230

NPI assigned

Jul 19, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bledar Haxhiu, MDNPI 1629538442

Title

Cmo

Phone

(215) 651-7275

Specialties & licenses 1

Addresses

Other names 3

• Haxmon Medical Services Doing business as
• First Step Wellness Center Other name
• Haxmon Medical Group Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bledar Haxhiu, MD

  • Addiction Medicine (Family Medicine) Physician
  • Hialeah, FL
  • NPI 1629538442
  Medicare reassignment NPD Authorized official
• Shane Yasin Farouk, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hollywood, FL
  • NPI 1740196344
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1346975752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 N FEDERAL HWY # 381",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041422",
            "telephone_number": "215-651-7275",
            "fax_number": "888-818-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 37TH AVE STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215414",
            "telephone_number": "305-562-8090",
            "fax_number": "888-818-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 W 49th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123222",
            "country_code": "US",
            "telephone_number": "215-651-7275",
            "fax_number": "315-201-8028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "215-651-7275",
            "fax_number": "315-201-8028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 N 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215414",
            "country_code": "US",
            "telephone_number": "754-777-5600",
            "fax_number": "786-456-8395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 E 4th Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330103504",
            "country_code": "US",
            "telephone_number": "305-885-9999",
            "fax_number": "315-201-8028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAXMON MEDICAL SERVICES P LLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "HAXHIU",
        "authorized_official_first_name": "BLEDAR",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "215-651-7275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haxmon Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Step Wellness Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Haxmon Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Haven Mental Health Community LLC
• Kelly Hawkes, COTA/L
• Carla Hawkins Locke
• Shermel Erica Hawkins, OTR/L
• Annette B. Hawley, LCSW
• Mary K Hayes-Macaluso, M.D.
• Hayley Jumpp Afch
• Monica Haynes, MS
• Terry-Ann S Haynes, M.D.
• Katherine Haynick

• Addiction Medicine (Family Medicine) Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.