Provider Demographics
NPI:1699905299
Name:R DALE ENTERPRISES INC
Entity type:Organization
Organization Name:R DALE ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:GOLDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-746-4565
Mailing Address - Street 1:4700 N HIATUS RD
Mailing Address - Street 2:SUITE 157
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7951
Mailing Address - Country:US
Mailing Address - Phone:954-746-4565
Mailing Address - Fax:954-746-4561
Practice Address - Street 1:4700 N HIATUS RD
Practice Address - Street 2:SUITE 157
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7951
Practice Address - Country:US
Practice Address - Phone:954-746-4565
Practice Address - Fax:954-746-4561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies