Individual
MR. DAVID CHRISTOPHER WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4623 EBONY ST, ORLANDO, FL 32811-3823
(407) 990-6333
(321) 206-4502
Mailing address
4623 EBONY ST, ORLANDO, FL 32811-3823
(407) 990-6333
(321) 206-4502
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
003905100
FL
251E00000X
Home Health Agency
007902900
FL
310400000X
Assisted Living Facility
—
FL
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
FL
372600000X
Adult Companion
—
—
376J00000X
Homemaker
232909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007902900
—
FL
Enumeration date
07/25/2011
Last updated
02/10/2016
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