Organization · Type 2 NPI

Dedicated Senior Medical Centers of Florida, LLC

Non-Pharmacy Dispensing Site · Fort Myers, FL

NPI number 1235882895 Active

Practice location

4650 S Cleveland Ave # 15A
Fort Myers, FL 33907-1309

Call (239) 689-7411 Map

Fax (239) 766-7753

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
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.)

Other non-pharmacy dispensing site providers in Fort Myers

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NPI record

NPI: 1235882895
Entity type: Organization (Type 2)
Issued: Feb 2, 2022
Last updated: Feb 2, 2022
Status: Active
Subpart: Yes of Dedicated Senior Medical Centers of Florida, LLC

Other names

Dedicated Senior Medical Center Boardwalk · doing business as

Authorized official

Mary Chen
Authorized Official
(305) 628-6117

Verify this record

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 1235882895

Dedicated Senior Medical Centers of Florida, LLC's National Provider Identifier is 1235882895, issued on Feb 2, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Fort Myers, FL. The record was last updated on Feb 2, 2022.