Provider Demographics
NPI:1003472499
Name:DADE MEDICAL, INC.
Entity Type:Organization
Organization Name:DADE MEDICAL, INC.
Other - Org Name:INTEGRATED HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-215-4264
Mailing Address - Street 1:3700 COMMERCE PARKWAY
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:844-215-4265
Practice Address - Street 1:9143 PHILIPS HIGHWAY SUITE 270
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256
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:2019-05-13
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100109000Medicaid