Organization · Type 2 NPI

Dedicated Senior Medical Centers of Florida, LLC

Non-Pharmacy Dispensing Site · Lakeland, FL

NPI number 1750090163 Active

Practice location

105 S Florida Ave Fl 3
Lakeland, FL 33801-4619

Call (863) 777-2443 Map

Fax (863) 614-1711

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.)

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NPI record

NPI: 1750090163
Entity type: Organization (Type 2)
Issued: Nov 15, 2022
Last updated: Apr 24, 2023
Status: Active
Subpart: Yes of Dedicated Senior Medical Centers of Florida, LLC

Other names

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Dedicated Senior Medical Center West Memorial (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 1750090163

Dedicated Senior Medical Centers of Florida, LLC's National Provider Identifier is 1750090163, issued on Nov 15, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Lakeland, FL. The record was last updated on Apr 24, 2023.