DEDICATED MISSOURI HOLDING, LLC
NPI 1053958082
Internal Medicine in Miami Gardens, FL

Q: What is Dedicated Missouri Holding, LLC's NPI number?

The NPI number for Dedicated Missouri Holding, LLC is 1053958082. It was assigned to this organization in the NPPES registry on December 10, 2019.

Q: What is Dedicated Missouri Holding, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 10, 2019

1395 NW 167TH ST, MIAMI GARDENS, FL 33169(305) 628-6117 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2024, Dec 10, 2019 (2 updates tracked since 2019).

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About Dedicated Missouri Holding, Llc NPPES

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

DEDICATED MISSOURI HOLDING, LLC (NPI 1053958082) is a healthcare organization registered as an internal medicine in Miami Gardens, Florida and active in the NPI registry since December 2019. The organization lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1053958082

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameDEDICATED MISSOURI HOLDING, LLC

Location Address1395 NW 167TH STMiami Gardens, FL 33169-5710

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117

Phone(305) 628-6117

Organization SubpartNo

Authorized OfficialMary ChenAuthorized Official · (305) 831-4722

Enumeration DateDecember 10, 2019

Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration

NPPES CertifiedOctober 31, 2024

✔ NPI 1053958082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1395 NW 167TH ST, Miami Gardens, FL 33169

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PMR VIRGINIA HOLDING, LLC

Specialist

1395 NW 167TH ST
MIAMI GARDENS, FL 33169

Miami-Dade County (305) 628-6117

DEDICATED PHYSICIANS GROUP OF TEXAS PLLC

Internal Medicine

1395 NW 167TH ST
MIAMI GARDENS, FL 33169

Miami-Dade County (305) 628-6117

DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC

Non-Pharmacy Dispensing Site

1395 NW 167TH ST
MIAMI, FL 33169

Miami-Dade County (305) 628-6117

SURGEY CENTER OF NORTH DADE, LLC

Clinic/Center (Ambulatory Surgical)

1395 NW 167TH ST
MIAMI, FL 33169

Miami-Dade County (781) 820-6134

PMR LA HOLDING, LLC

Non-Pharmacy Dispensing Site

1395 NW 167TH ST
MIAMI GARDENS, FL 33169

Miami-Dade County (305) 628-6117

PMR US HOLDINGS, LLC

Specialist

1395 NW 167TH ST
MIAMI GARDENS, FL 33169

Miami-Dade County (786) 870-4039

ANA DE LA VEGA

Registered Nurse

1395 NW 167TH ST
MIAMI GARDENS, FL 33169

Miami-Dade County (888) 694-8709

DEDICATED US HOLDINGS, LLC

Internal Medicine

1395 NW 167TH ST
MIAMI GARDENS, FL 33169

Miami-Dade County (305) 628-6117

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 Missouri Holding, LLC's NPI number?

The NPI number for Dedicated Missouri Holding, LLC is 1053958082. It was assigned to this organization in the NPPES registry on December 10, 2019.

Where is Dedicated Missouri Holding, LLC located?

Dedicated Missouri Holding, LLC is located at 1395 NW 167th St, Miami Gardens, FL 33169. The listed phone number is (305) 628-6117.

What is Dedicated Missouri Holding, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Dedicated Missouri Holding, LLC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.