MEDICARE: DADE MEDICAL, INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies	293	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407894348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DADE MEDICAL, INC.

Provider Business Mailing Address
First Line	:	3700 COMMERCE PKWY
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3912
Country	:	US
Telephone Number	:	844-215-4264
Fax Number	:	844-215-4265

Provider Business Practice Location Address
First Line	:	3700 COMMERCE PKWY
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3912
Country	:	US
Telephone Number	:	844-215-4264
Fax Number	:	844-215-4265

Authorized Official
Title or Position	:	COO
Name	:	LINDA MENDEZ
Credential	:
Telephone Number	:	844-215-4264

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	06/19/2020

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