Dedicated Senior Medical Center of Florida, LLC
Organization Active NPI Specialist · Miami Gardens, FL
NPI 1881055366 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1881055366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
- Practice address
- 1395 NW 167TH St
Miami Gardens, FL 33169-5742 - Phone
- (305) 628-6117
- NPI assigned
- Mar 11, 2016
- Organization subpart
- No
Authorized official
- Name
- Mary Chen
- Title
- Authorized Official
- Phone
- (305) 831-4722
Other NPIs on the same Medicare enrollment 6
Practitioners 351
-
Tolulope Olakunle Abikoye, MD MPH
-
Nishi Agarwal, M.D.
-
Asma Aqib, M.D
-
Yajaida Aristhyl, ARNP
-
Vlad Badescu, MD
-
Aditi Bhardwaj, MD
-
Mikhail Stephen Carlow, MBBS
-
Timothy Chan, DO
-
Alesia D Cobb, ARNP
-
Rares Ion Cocioba, DO, MD
-
Vyas Naresh Dake, M.D.
-
Gladys G De Leon, DPM
-
Vahide M Dogan-Bag, M.D.
-
Sandra E. Dsouza, DO
-
Lina L Gandara Lopez, MSN, APRN, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161101001703 | FL | Part B Supplier - Clinic/Group Practice | 4486932100 |
Receives reassigned benefits from 327 practitioners 6 other NPIs on this enrollment Practice locations: Tampa, FL; Winter Park, FL; Temple Terrace, FL; St Petersburg, FL; Riviera Beach, FL; Orlando, FL; Largo, FL; Clearwater, FL… |
National Provider Directory
Locations
5848 Atlantic Ave
Delray Beach, FL 33484
Phone (561) 270-6950
4990 Majorca Palms Dr
Fort Myers, FL 33905
Phone (239) 990-3144
11600 Gladiolus Dr
Ste C17
Fort Myers, FL 33908
Phone (239) 790-2488
8000 Lem Turner Rd
Jacksonville, FL 32208
Phone (904) 539-8200
3614 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 419-7100
8000 Lem Turner Rd
#2
Jacksonville, FL 32208
Phone (904) 539-8200
4390 66th St N
Kenneth City, FL 33709
Phone (727) 513-4100
105 S Florida Ave
Fl 3
Lakeland, FL 33801
Phone (863) 777-2443
105 S Florida Ave
#3
Lakeland, FL 33801
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
4715 S Florida Ave
Ste 200
Lakeland, FL 33813
Phone (863) 209-7004
890 Missouri Ave N
Largo, FL 33770
Phone (727) 739-8200
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
4636 S Orange Blossom Trl
Orlando, FL 32839
2724 N Hiawassee Rd
Ste 100
Orlando, FL 32818
Phone (407) 906-0082
904 Lee Rd
Ste 200
Orlando, FL 32810
Phone (407) 723-7373
4613 S Orange Blossom Trl
Orlando, FL 32839
Phone (407) 232-9829
8727 Temple Terrace Hwy
Temple Terrace, FL 33637
Phone (813) 796-5400
926 E E St
Ste 100
Hastings, NE 68901
Phone (402) 303-8802
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes | ||
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
1395 NW 167TH St
Miami Gardens, FL 33169-5742
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5742
Other providers in Miami Gardens, FL
- Dedicated Physicians Group of Kansas LLC
- Dedicated Physicians Group of Michigan, PLLC
- Dedicated Physicians Group of North Carolina PLLC
- Dedicated Physicians Group of Pennsylvania, PLLC
- Dedicated Physicians Group of Texas PLLC
- Dedicated South Carolina Holding, LLC
- Dedicated US Holdings, LLC
- Reynol Del Corral Sanchez
- Isis Del Pino Cepero
- Liena Del Rosario Arango
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.