# HANOVER MEDICAL SERVICES OF DADE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700399664
- **Authorized official:** ED LARGAESAPADA (CEO)
- **Authorized official phone:** (305) 592-5225

## Contact information

- **Practice address:** 8180 DORAL BLVD STE 416, DORAL, FL 33166-6686
- **Practice address phone:** (305) 592-5225
- **Mailing address:** 8180 DORAL BLVD STE 416, DORAL, FL 33166-6686
- **Mailing address phone:** (305) 592-5225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2017
- **Last updated:** 09/19/2025
