Organization · Type 2 NPI

Dedicated Senior Medical Centers of Florida, LLC

Non-Pharmacy Dispensing Site · Orlando, FL

NPI number 1376201780 Active

Practice location

4220 W Colonial Dr
Orlando, FL 32808-8174

Call (407) 602-7885 Map

Fax (407) 634-6318

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.)

2 other providers at this address

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NPI record

NPI: 1376201780
Entity type: Organization (Type 2)
Issued: Dec 2, 2021
Last updated: Dec 2, 2021
Status: Active
Subpart: Yes of Dedicated Senior Medical Centers of Florida, LLC

Other names

Dedicated Senior Medical Center West Colonial · 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 1376201780

Dedicated Senior Medical Centers of Florida, LLC's National Provider Identifier is 1376201780, issued on Dec 2, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Orlando, FL. The record was last updated on Dec 2, 2021.