DEDICATED SENIOR MEDICAL CENTERS OF FLORIDA LLC NPI 1235882895

NPI Information

DEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC is a non pharmacy dispensing site in Fort Myers, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) DEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC NPI is 1235882895. The provider is registered as an organization entity type.

The provider's business location address is:

4650 S CLEVELAND AVE # 15A
FORT MYERS, FL
ZIP 33907-309
Phone: (239) 689-7411
Fax: (239) 766-7753

The provider's authorized official is Mary Chen .
The authorized official title is Authorized Official and has the following contact phone number (305) 628-6117.

The CLIA number assigned to this NPI record is 10D2264714 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2022 and was last updated on 2/2/2022.

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:

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