DEDICATED SENIOR MEDICAL CENTER WESTSIDE
NPI 1114434206
Specialist in Jacksonville, FL

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

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

Active since January 10, 2018CLIA 10D2146431 · Waiver

6841 BLANDING BLVD, JACKSONVILLE, FL 32244(305) 628-6117 Get Directions Write a Review

NPPES record last updated: March 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2018, Jan 10, 2018 (2 updates tracked since 2018).

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About Dedicated Senior Medical Center Westside NPPES

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

DEDICATED SENIOR MEDICAL CENTER WESTSIDE (NPI 1114434206) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Raymond Jimenez, Director Of Client Services, as its authorized official.

NPPES Registry Identity

NPI1114434206

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC

Location Address6841 BLANDING BLVDJacksonville, FL 32244

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

Phone(305) 628-6117

Organization SubpartYes

Authorized OfficialRaymond JimenezDirector Of Client Services · (305) 628-6117

Enumeration DateJanuary 10, 2018

Last NPPES UpdateMarch 5, 20182 updates tracked since enumeration

✔ NPI 1114434206 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

6841 BLANDING BLVD, Jacksonville, FL 32244

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Other Names 1

Other NameDedicated Senior Medical Center Westside

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2146431

Dedicated Senior Medical Center - Westside · Jacksonville, FL

Active · expires Mar 28, 2028

CLIA Number10D2146431

Laboratory TypePhysician Office

Certificate Effective DateMarch 29, 2026

Certificate Expiration DateMarch 28, 2028

Laboratory DirectorChristopher J. Chen

Laboratory Phone(904) 862-2175

Laboratory LocationDedicated Senior Medical Center - Westside6841 Blanding Blvd, Jacksonville, FL 32244

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

DINA MARIA FEDOR ARNP

Nurse Practitioner (Family)