Individual
MR. DAEMARI VAKARR WADE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ORTHODIC FITTER
Contact information
Practice address
3334 CAPITAL MEDICAL BLVD STE 100, TALLAHASSEE, FL 32308-4470
(850) 877-8174
Mailing address
3334 CAPITAL MEDICAL BLVD STE 100, TALLAHASSEE, FL 32308-4470
(850) 877-8174
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50-21938
FL
Other
Enumeration date
05/28/2025
Last updated
05/29/2025
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