Healthcare Provider Details

I. General information

NPI: 1871407544
Provider Name (Legal Business Name): LADE INTERNATIONAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 N NEBRASKA AVE
TAMPA FL
33603-2341
US

IV. Provider business mailing address

5100 N NEBRASKA AVE
TAMPA FL
33603-2341
US

V. Phone/Fax

Practice location:
  • Phone: 708-735-5701
  • Fax:
Mailing address:
  • Phone: 708-735-5701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: OLUSHOLA JANET SANNI
Title or Position: MANAGER
Credential: MD
Phone: 708-735-5701