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DEDICATED SENIOR MEDICAL CENTER OF FLORIDA LLC NPI 1700393881


NPI Information

NPI: 1700393881
Provider Name: DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC

Other Name: DEDICATED SENIOR MEDICAL CENTER NORTH TAMPA

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D2146433

Address:
1901 FLETCHER AVENUE
TAMPA, FL
ZIP 33612
Phone: (305) 628-6117
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DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC is a specialist in Tampa, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC NPI is 1700393881. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dedicated Senior Medical Center North Tampa.

The provider's business location address is:

1901 FLETCHER AVENUE
TAMPA, FL
ZIP 33612
Phone: (305) 628-6117

The provider's authorized official is Raymond Jimenez .
The authorized official title is Director Of Client Services and has the following contact phone number (305) 628-6117.

The CLIA number assigned to this NPI record is 10D2146433 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2018 and was last updated on 1/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes
2332900000XNon-Pharmacy Dispensing SiteNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.