Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johann Alexander Haidacher, APRNFNP

Individual provider Family Nurse Practitioner · NPI 1952123390

Johann Alexander Haidacher, APRNFNP is a Nurse Practitioner in Hollywood, Florida. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024

Practice location Address checks out

1150 N 35th Ave Ste 590
Hollywood, FL 33021-5468
Phone: (954) 276-3500
Fax: (954) 265-1431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11036185 (FL)

Record details

NPI number1952123390
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNFNP
Sole proprietorYes
NPI enumeratedOctober 28, 2024
Last updated in NPPESJuly 19, 2026
Certification dateJuly 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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