DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC (NPI# 1114434206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114434206 |
Entity Type | Organization |
Organization Name | DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC |
Other Organization Name | DEDICATED SENIOR MEDICAL CENTER WESTSIDE |
Practice Address |
6841 Blanding Blvd Jacksonville FL 32244 |
Mailing Address |
1395 Nw 167th Street Miami Gardens FL 33169 |
Practice Telephone | 3056286117 |
Mailing Telephone | 3056286117 |
Enumeration Date | 2018-01-10 |
Last Update Date | 2018-03-05 |
Authorized Official Name | MR. RAYMOND JIMENEZ (DIRECTOR OF CLIENT SERVICES) |
Authorized Official Telephone | 3056286117 |
Is Organization Subpart | Y |
Parent Organization Name | DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
Y | 174400000X | Specialist | Other Service Providers |
Other Name | Type Code |
---|---|
Dedicated Senior Medical Center Westside | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
1700393881 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1901 Fletcher Avenue, Tampa, FL 33612 | 2018-01-10 |
1033626122 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 3059 Edgewood Avenue West, Jacksonville, FL 32209 | 2018-01-10 |
1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
1184185381 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 5848 West Atlantic Ave Suite 143, Delray Beach, FL 33484 | 2019-03-29 |
1780145193 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 4998 10th Ave N, Greenacres, FL 33463-2210 | 2019-03-28 |
1134680549 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 3002 Broadway, Riviera Beach, FL 33404-2322 | 2019-03-28 |
1659888741 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 7050 Ulmerton Rd, Largo, FL 33771 | 2018-01-10 |
1881055366 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1395 Nw 167th St, Miami Gardens, FL 33169-5742 | 2016-03-11 |
Street Address |
6841 BLANDING BLVD |
City | JACKSONVILLE |
State | FL |
Zip Code | 32244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275504581 | Gerardo Baldassarri | Family Medicine | 6841 Blanding Blvd, Jacksonville, FL 32244-4418 | 2006-01-27 |
1518400118 | Lucksley Jean | Family Medicine | 6841 Blanding Blvd, Jacksonville, FL 32244-4418 | 2016-11-30 |
1841588068 | Tolulope Adeyemo | Family Medicine | 6841 Blanding Blvd, Jacksonville, FL 32244-4418 | 2011-07-21 |
1760779573 | Danielle Venegonia Crawford | Podiatrist | 6841 Blanding Blvd, Jacksonville, FL 32244-4418 | 2011-06-30 |
1750443412 | May Ellza Montrichard | Family Medicine | 6841 Blanding Blvd, Jacksonville, FL 32244 | 2006-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
1003287814 | South Jacksonville Dental Pllc | Dentist | 8440 Blanding Blvd, Jacksonville, FL 32244 | 2015-10-20 |
1326444340 | Laurie Lynn Scheid | Nurse Practitioner | 7855 Argyle Forest Blvd Ste 601, Jacksonville, FL 32244 | 2014-11-18 |
1114322260 | Candy Sharon Lucero | Occupational Therapist | 8563-2 Argyle Business Loop, Jacksonville, FL 32244 | 2014-10-31 |
1780959817 | Senior Helpers | In Home Supportive Care | 6327 Argyle Forest Blvd, Suite 3, Jacksonville, FL 32244 | 2012-03-22 |
1093831505 | Eduardo R Paat Sr. | Marriage & Family Therapist | 63394 Argyle Forest Blvd, Jacksonville, FL 32244 | 2007-03-22 |
1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
1427113968 | John F Bibb | Dentist | 6001 4 Argyle Forest Blvd, Jacksonville, FL 32244 | 2006-12-26 |
Find all providers in zip 32244 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
1437620986 | Nicole Azaan | Specialist | 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 | 2018-12-10 |
1598251910 | Allionz LLC | Specialist | 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 | 2018-07-09 |
1093236531 | Leah F Friedman | Specialist | 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 | 2017-07-06 |
1609301993 | Oakleaf Injury and Pain Center LLC | Specialist | 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 | 2017-04-25 |
1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
1235525239 | Elizabeth Wehr | Specialist | 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 | 2015-04-07 |
1053705236 | Orthowilmington, Pa | Specialist | 3382 Henderson Dr, Jacksonville, NC 28546-5230 | 2015-03-25 |
1295156941 | Southeast Orthopedic Specialists, Inc. | Specialist | 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | 2013-12-26 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32244 |
Please comment or provide details below to improve the information on DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.