DEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC
NPI 1285357475
Non-Pharmacy Dispensing Site in St. Petersburg, FL

Active since September 22, 2022
4390 66TH ST. N., ST. PETERSBURG, FL 33709(727) 513-4100(727) 565-4979 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dedicated Senior Medical Centers Of Florida, Llc NPPES

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

DEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC (NPI 1285357475), doing business as Dedicated Senior Medical Center Kenneth City, is a healthcare organization registered as a non-pharmacy dispensing site in St. Petersburg, Florida and active in the NPI registry since September 2022. The organization lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1285357475
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC
Location Address4390 66TH ST. N.St. Petersburg, FL 33709
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Fax(727) 565-4979
Organization SubpartYes
Authorized OfficialMary ChenAuthorized Official · (305) 628-6117
Enumeration DateSeptember 22, 2022
NPPES CertifiedSeptember 20, 2022
NPI 1285357475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
4390 66TH ST. N., St. Petersburg, FL 33709

Other Names 1

Doing Business AsDedicated Senior Medical Center Kenneth City

Accepted 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 10D2266568

Dedicated Senior Medical Center Kenneth City · Kenneth City, FL
Expired · Aug 11, 2026
CLIA Number10D2266568
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorChristopher Chen
Laboratory Phone(727) 513-4100
Laboratory LocationDedicated Senior Medical Center Kenneth City4390 66 St North, Kenneth City, FL 33709
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Centers Of Florida, LLC's NPI number?

The NPI number for Dedicated Senior Medical Centers Of Florida, LLC is 1285357475. It was assigned to this organization in the NPPES registry on September 22, 2022. The provider is doing business as Dedicated Senior Medical Center Kenneth City.

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

Dedicated Senior Medical Centers Of Florida, LLC is located at 4390 66th St. N., St. Petersburg, FL 33709. The listed phone number is (727) 513-4100.

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

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Dedicated Senior Medical Centers 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 Centers 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 Centers Of Florida, LLC was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.