Provider Demographics
NPI:1285245662
Name:DADE MEDICAL, INC.
Entity type:Organization
Organization Name:DADE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-512-0000
Mailing Address - Street 1:3700 COMMERCE PKWY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3912
Mailing Address - Country:US
Mailing Address - Phone:844-215-4264
Mailing Address - Fax:
Practice Address - Street 1:1700 PARK LN S STE 8
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8089
Practice Address - Country:US
Practice Address - Phone:844-215-4264
Practice Address - Fax:844-215-4265
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DADE MEDICAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies