Organization
DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
Active
Parent organization
DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
Other names
Dedicated Senior Medical Center Northside
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 628-6117
Entity
Organization
Contact information
Practice address
3059 EDGEWOOD AVENUE WEST, JACKSONVILLE, FL 32209
(305) 628-6117
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
01/10/2018
Last updated
10/10/2025
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