MEDICARE: DADE TREATMENT CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME73691	FL

General Provider Information

NPI Number	:	1053390633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DADE TREATMENT CENTER

Provider Business Mailing Address
First Line	:	3115 W 4TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5307
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3115 W 4TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5307
Country	:	US
Telephone Number	:	305-887-5730
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NORA SANZ
Credential	:
Telephone Number	:	305-887-5730

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	08/22/2020

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Directions to “DADE TREATMENT CENTER ” Practice Location

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