Organization
DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS FERNANDEZ-CORTES (MANAGING DIRECTOR)
(305) 498-4034
Entity
Organization
Contact information
Practice address
901 22ND AVENUE SOUTH, DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC., ST. PETERSBURG, FL 33705
(305) 831-4761
Mailing address
1395 NW 167TH STREET, CHEN MEDICAL CORPORATE OFFICE, MIAMI GARDENS, FL 33169
(305) 831-4761
(305) 831-4761
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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