Provider Demographics
NPI:1073535035
Name:DADE MEDICAL ASSOCIATES INC
Entity Type:Organization
Organization Name:DADE MEDICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-232-1353
Mailing Address - Street 1:18057 SOUTH DIXIE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5546
Mailing Address - Country:US
Mailing Address - Phone:305-232-1353
Mailing Address - Fax:305-251-3357
Practice Address - Street 1:18057 SOUTH DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-5546
Practice Address - Country:US
Practice Address - Phone:305-232-1353
Practice Address - Fax:305-251-3357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28690207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D86290Medicare UPIN
FL78528AMedicare ID - Type Unspecified