DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC


Address: 6841 Blanding Blvd, Jacksonville, FL 32244
Phone: 3056286117

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332900000X Non-Pharmacy Dispensing Site Suppliers
Y 174400000X Specialist Other Service Providers

Other Provider/Organization Names

Other Name Type Code
Dedicated Senior Medical Center Westside Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 6841 BLANDING BLVD
City JACKSONVILLE
State FL
Zip Code 32244

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City JACKSONVILLE
Zip Code 32244

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Dataset Information

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.

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