Organization · Type 2 NPI

Dedicated Physicians Group of Tennessee, PLLC

Non-Pharmacy Dispensing Site · Nashville, TN

NPI number 1215672191 Active

Practice location

505 Mainstream Dr
Nashville, TN 37228-1208

Call (629) 895-0080 Map

Fax (629) 895-5389

Mailing address

1395 NW 167th St
Miami Gardens, FL 33169-5710

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

3 other providers at this address

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NPI record

NPI: 1215672191
Entity type: Organization (Type 2)
Issued: May 4, 2022
Last updated: Jul 11, 2022
Status: Active
Subpart: Yes of Dedicated Physicians Group of Tennessee, PLLC

Other names

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Dedicated Senior Medical Center Bordeaux (tc) · doing business as
Dedicated Senior Medical Center Bordeaux (tc) · doing business as

Authorized official

Mary Chen
Authorized Official
(305) 628-6117

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215672191

Dedicated Physicians Group of Tennessee, PLLC's National Provider Identifier is 1215672191, issued on May 4, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Nashville, TN. The record was last updated on Jul 11, 2022.