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NPI 1811043953

NPI 1811043953 : BROWARD DADE HOME MEDICAL EQUIP. INC. : POMPANO BEACH, FL

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General NPI Number Information
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    NPI Number           |    1811043953
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    Entity Type          |    Organization 
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    Legal Business Name  |    BROWARD DADE HOME MEDICAL EQUIP. INC. 
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Dates
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    Enumeration Date     |    01/25/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2900 W SAMPLE RD STORE 102 BAY 74
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    City                 |    POMPANO BEACH
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    State                |    FL
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    Zip                  |    33073-3024
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    Country              |    US
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    Telephone            |    954-974-9768
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    Fax                  |    954-974-9769
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Provider Business Mailing Address
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    Address Line         |    2900 W SAMPLE RD STORE 102 BAY 74
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    City                 |    POMPANO BEACH
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    State                |    FL
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    Zip                  |    33073-3024
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    Country              |    US
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    Telephone            |    954-974-9768
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    Fax                  |    954-974-9769
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. ANGEL  LEONARD 
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    Credential           |    
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    Telephone            |    941-708-0875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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