Healthcare Provider Details

I. General information

NPI: 1619179694
Provider Name (Legal Business Name): BARRAU AND ALADE MDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

838 NW 183RD ST SUITE 102
MIAMI GARDENS FL
33169-4203
US

IV. Provider business mailing address

838 NW 183RD ST SUITE 102
MIAMI GARDENS FL
33169-4203
US

V. Phone/Fax

Practice location:
  • Phone: 305-651-6755
  • Fax: 305-651-6757
Mailing address:
  • Phone: 305-651-6755
  • Fax: 305-651-6757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberME86286
License Number StateFL

VIII. Authorized Official

Name: DR. MOSES O ALADE
Title or Position: PRESIDENT
Credential: MD
Phone: 305-651-6755