Active NPI
Daemari Vakarr Wade Sr., ORTHODIC FITTER
- Durable Medical Equipment & Medical Supplies
- Tallahassee, FL
National Provider Identifier
1679366918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 50-21938
- Practice address
- 3334 Capital Medical Blvd Ste 100
Tallahassee, FL 32308-4470 - Phone
- (850) 877-8174
- NPI assigned
- May 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 50-21938 | FL | Primary |
Addresses
Primary practice location
3334 Capital Medical Blvd Ste 100
Tallahassee, FL 32308-4470
Mailing address
3334 Capital Medical Blvd Ste 100
Tallahassee, FL 32308-4470
Phone (850) 877-8174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-21938 | FL | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1679366918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3334 CAPITAL MEDICAL BLVD STE 100",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084470",
"telephone_number": "850-877-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3334 CAPITAL MEDICAL BLVD STE 100",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084470",
"telephone_number": "850-877-8174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "DAEMARI",
"middle_name": "VAKARR",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "ORTHODIC FITTER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "50-21938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.