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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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
990561800
FL
Enumeration date
11/14/2017
Last updated
09/19/2025
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