Provider Demographics
NPI:1093085342
Name:DADE THERAPY, INC
Entity Type:Organization
Organization Name:DADE THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMILIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SARDINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-219-0151
Mailing Address - Street 1:12595 SW 137TH AVE
Mailing Address - Street 2:STE 303
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4222
Mailing Address - Country:US
Mailing Address - Phone:786-219-0151
Mailing Address - Fax:786-219-3920
Practice Address - Street 1:12595 SW 137TH AVE
Practice Address - Street 2:STE 303 & 305
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4222
Practice Address - Country:US
Practice Address - Phone:786-219-0151
Practice Address - Fax:786-219-3920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty