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

Q: What is the provider's specialty?

The provider's specialty 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: July 19, 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