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DEDICATED SENIOR MEDICAL CENTER OF FLORIDA LLC NPI 1811404908


NPI Information

NPI: 1811404908
Provider Name: DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC

Other Name: DEDICATED SENIOR MEDICAL CENTER BRADENTON

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D2146434

Address:
1505 53RD AVE
BRADENTON, FL
ZIP 34203
Phone: (305) 628-6117
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DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC is a specialist in Bradenton, 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 1811404908. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dedicated Senior Medical Center Bradenton.

The provider's business location address is:

1505 53RD AVE
BRADENTON, FL
ZIP 34203
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 10D2146434 - 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: 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.