MEDICARE: DADE FAMILY & SPECIALTY CARE

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1831031533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DADE FAMILY & SPECIALTY CARE

Provider Business Mailing Address
First Line	:	7100 SW 99TH AVE STE 204
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4668
Country	:	US
Telephone Number	:	786-457-0768
Fax Number	:	305-456-4996

Provider Business Practice Location Address
First Line	:	7100 SW 99TH AVE STE 204
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4668
Country	:	US
Telephone Number	:	786-457-0768
Fax Number	:	305-456-4996

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	RAIDY RICHARD CONCEPCION GOMEZ
Credential	:
Telephone Number	:	786-457-0768

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “DADE FAMILY & SPECIALTY CARE ” Practice Location

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