Hanover Medical Services of Dade, Inc

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

HANOVER MEDICAL SERVICES OF DADE, INC

Practice address

8180 Doral Blvd Ste 416
Doral, FL 33166-6686

Phone

(305) 592-5225

NPI assigned

Nov 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ed Largaesapada

Title

Ceo

Phone

(305) 592-5225

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1700399664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 DORAL BLVD STE 416",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666686",
            "telephone_number": "305-592-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 DORAL BLVD STE 416",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666686",
            "telephone_number": "305-592-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER MEDICAL SERVICES OF DADE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "LARGAESAPADA",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-592-5225"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "990561800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Corporate Health Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Corporate Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.