HANOVER MEDICAL SERVICES OF DADE, INC; NPI #1700399664

Contact Information

HANOVER MEDICAL SERVICES OF DADE, INC

8180 DORAL BLVD STE 416
DORAL, FL 33166-6686

Phone: 305-592-5225
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Corporate Health	261QC1800X

Indicates primary specialty

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NPI Profile & details for HANOVER MEDICAL SERVICES OF DADE, INC

NPI Number 1700399664

LBN Legal business name HANOVER MEDICAL SERVICES OF DADE, INC

Authorized official ED LARGAESAPADA - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/14/2017

Last updated 09/19/2025 - About 9 months ago

Identifiers

Medicaid

990561800

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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