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Organization
HANOVER MEDICAL SERVICES OF DADE, INC
Active
Organization
HANOVER MEDICAL SERVICES OF DADE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED LARGAESAPADA (CEO)
(305) 592-5225
Entity
Organization
Contact information
Practice address
8180 DORAL BLVD STE 416, DORAL, FL 33166-6686
(305) 592-5225
Mailing address
8180 DORAL BLVD STE 416, DORAL, FL 33166-6686
(305) 592-5225
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/14/2017
Last updated
09/19/2025
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