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HANOVER MEDICAL SERVICES OF DADE INC NPI 1700399664


NPI Information

NPI: 1700399664
Provider Name: HANOVER MEDICAL SERVICES OF DADE, INC
Classification: Clinic/Center - 261QC1800X
Entity Type: Organization

Specialization: Corporate Health

Address:
8180 DORAL BLVD STE 416
DORAL, FL
ZIP 33166
Phone: (305) 592-5225
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HANOVER MEDICAL SERVICES OF DADE, INC is a corporate health clinic center in Doral, FL. HANOVER MEDICAL SERVICES OF DADE, INC NPI is 1700399664. The provider is registered as an organization entity type.

The provider's business location address is:

8180 DORAL BLVD STE 416
DORAL, FL
ZIP 33166-686
Phone: (305) 592-5225

The provider's authorized official is Ed Largaesapada .
The authorized official title is Ceo and has the following contact phone number (305) 592-5225.

The enumeration date for this NPI number is 11/14/2017 and was last updated on 11/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1800XClinic/CenterCorporate HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1990561800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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