MEDICARE: BROWARD DADE HOME MEDICAL EQUIP. 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
2	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1811043953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWARD DADE HOME MEDICAL EQUIP. INC.

Provider Business Mailing Address
First Line	:	2900 W SAMPLE RD
Second Line	:	STORE 102 BAY 74
City	:	POMPANO BEACH
State	:	FL
Zip	:	33073-3024
Country	:	US
Telephone Number	:	954-974-9768
Fax Number	:	954-974-9769

Provider Business Practice Location Address
First Line	:	2900 W SAMPLE RD
Second Line	:	STORE 102 BAY 74
City	:	POMPANO BEACH
State	:	FL
Zip	:	33073-3024
Country	:	US
Telephone Number	:	954-974-9768
Fax Number	:	954-974-9769

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ANGEL LEONARD
Credential	:
Telephone Number	:	941-708-0875

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	09/11/2025

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