Provider Demographics
NPI:1184794323
Name:HADE CORPORATION
Entity type:Organization
Organization Name:HADE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ESKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-899-6072
Mailing Address - Street 1:911 E ATLANTIC BLVD
Mailing Address - Street 2:SUITE# 101
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-7372
Mailing Address - Country:US
Mailing Address - Phone:954-946-5950
Mailing Address - Fax:954-943-8315
Practice Address - Street 1:911 E ATLANTIC BLVD
Practice Address - Street 2:SUITE# 101
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-7372
Practice Address - Country:US
Practice Address - Phone:954-946-5950
Practice Address - Fax:954-943-8315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312780332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4574890001Medicare ID - Type Unspecified