Provider Demographics
NPI:1427151414
Name:SOUTH DADE HEALTH GROUP INC
Entity type:Organization
Organization Name:SOUTH DADE HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-267-8269
Mailing Address - Street 1:123 N KROME AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-6002
Mailing Address - Country:US
Mailing Address - Phone:786-355-6005
Mailing Address - Fax:
Practice Address - Street 1:123 N KROME AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-6002
Practice Address - Country:US
Practice Address - Phone:786-355-6005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies