Organization · Type 2 NPI

Dedicated Senior Medical Center of Florida, LLC

Non-Pharmacy Dispensing Site · Jacksonville, FL

NPI number 1982375564 Active

Practice location

1220 University Blvd N
Jacksonville, FL 32211-8852

Call (904) 490-8700 Map

Fax (904) 490-9810

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

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NPI record

NPI: 1982375564
Entity type: Organization (Type 2)
Issued: Sep 23, 2021
Last updated: Sep 23, 2021
Status: Active
Subpart: Yes of Dedicated Senior Medical Centers of Florida, LLC

Other names

Dedicated Senior Medical Center Monterey · doing business as

Authorized official

Mary Chen
Authorized Offical
(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 1982375564

Dedicated Senior Medical Center of Florida, LLC's National Provider Identifier is 1982375564, issued on Sep 23, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 23, 2021.