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DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG LLC. NPI 1801320528


NPI Information

NPI: 1801320528
Provider Name: DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D2131673

Address:
901 22ND AVENUE SOUTH
DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC.
ST. PETERSBURG, FL
ZIP 33705
Phone: (305) 831-4761
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DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC. is a specialist in St. Petersburg, 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 ST. PETERSBURG, LLC. NPI is 1801320528. The provider is registered as an organization entity type.

The provider's business location address is:

901 22ND AVENUE SOUTH
DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC.
ST. PETERSBURG, FL
ZIP 33705
Phone: (305) 831-4761

The provider's authorized official is Gladys Fernandez-cortes .
The authorized official title is Managing Director and has the following contact phone number (305) 498-4034.

The CLIA number assigned to this NPI record is 10D2131673 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 4/19/2017.


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
1332900000XNon-Pharmacy Dispensing SiteNo
2174400000XSpecialistYes

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: 11/14/2023

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.