DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
NPI 1033626122
Specialist in Jacksonville, FL

Active since January 10, 2018
3059 EDGEWOOD AVENUE WEST, JACKSONVILLE, FL 32209(305) 628-6117 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, Mar 5, 2018, Jan 10, 2018 (3 updates tracked since 2018).

About Dedicated Senior Medical Center Of Florida, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC (NPI 1033626122) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since January 2018. The organization lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1033626122
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
Location Address3059 EDGEWOOD AVENUE WESTJacksonville, FL 32209
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Organization SubpartYes
Authorized OfficialMary ChenAuthorized Official · (305) 628-6117
Enumeration DateJanuary 10, 2018
Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1033626122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
3059 EDGEWOOD AVENUE WEST, Jacksonville, FL 32209

Other Names 1

Other NameDedicated Senior Medical Center Northside

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dedicated Senior Medical Center Of Florida, LLC's NPI number?

The NPI number for Dedicated Senior Medical Center Of Florida, LLC is 1033626122. It was assigned to this organization in the NPPES registry on January 10, 2018. The provider is also known as Dedicated Senior Medical Center Northside.

Where is Dedicated Senior Medical Center Of Florida, LLC located?

Dedicated Senior Medical Center Of Florida, LLC is located at 3059 Edgewood Avenue West, Jacksonville, FL 32209. The listed phone number is (305) 628-6117.

What is Dedicated Senior Medical Center Of Florida, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Dedicated Senior Medical Center Of Florida, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Dedicated Senior Medical Center Of Florida, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dedicated Senior Medical Center Of Florida, LLC was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.