Organization · Type 2 NPI

Dedicated Senior Medical Centers of Florida, LLC

Non-Pharmacy Dispensing Site · St. Petersburg, FL

NPI number 1710649769 Active

Practice location

2805 54th Ave N Ste 500
St. Petersburg, FL 33714-2414

Call (727) 341-5800 Map

Fax (727) 341-5307

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.)

7 other providers at this address

Other non-pharmacy dispensing site providers in St. Petersburg

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NPI record

NPI: 1710649769
Entity type: Organization (Type 2)
Issued: Oct 7, 2021
Last updated: Oct 7, 2021
Status: Active
Subpart: Yes of Dedicated Senior Medical Centers of Florida, LLC

Other names

Dedicated Senior Medical Center Lealman · doing business as

Authorized official

Mary Chen
Executive Officer
(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 1710649769

Dedicated Senior Medical Centers of Florida, LLC's National Provider Identifier is 1710649769, issued on Oct 7, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 7, 2021.