DEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC
NPI 1295487387
Non-Pharmacy Dispensing Site in Jacksonville, FL

Q: 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.

Active since January 20, 2022CLIA 10D2254692 · Waiver

3614 BLANDING BLVD, JACKSONVILLE, FL 32210(904) 419-7100(904) 643-4530 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1295487387), doing business as Dedicated Senior Medical Center Cedar Hills (estates), is a healthcare organization registered as a non-pharmacy dispensing site in Jacksonville, Florida and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1295487387

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameDEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC

Location Address3614 BLANDING BLVDJacksonville, FL 32210-5241

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

Phone(904) 419-7100

Fax(904) 643-4530

Organization SubpartYes

Authorized OfficialMary ChenAuthorized Official · (305) 628-6117

Enumeration DateJanuary 20, 2022

NPPES CertifiedJanuary 20, 2022

✔ NPI 1295487387 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.)

3614 BLANDING BLVD, Jacksonville, FL 32210

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Other Names 1

Doing Business AsDedicated Senior Medical Center Cedar Hills (estates)

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 10D2254692

Dedicated Senior Medical Center Cedar Hills · Jacksonville, FL

Active · expires Mar 6, 2028

CLIA Number10D2254692

Laboratory TypePhysician Office

Certificate Effective DateMarch 7, 2026

Certificate Expiration DateMarch 6, 2028

Laboratory DirectorChristopher Chen

Laboratory Phone(305) 842-3910

Laboratory LocationDedicated Senior Medical Center Cedar Hills3614 Blanding Blvd, Jacksonville, FL 32210

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 2

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

MS. LISA DAWN BOOTH F.N.P.

Nurse Practitioner (Family)

3614 BLANDING BLVD
JACKSONVILLE, FL 32210

Duval County (904) 419-7100

MUKESH CHANDRA AGARWAL M.D.

Internal Medicine

3614 BLANDING BLVD
JACKSONVILLE, FL 32210

Duval County (904) 419-7100

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 1295487387. It was assigned to this organization in the NPPES registry on January 20, 2022. The provider is doing business as Dedicated Senior Medical Center Cedar Hills (estates).

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

Dedicated Senior Medical Centers Of Florida, LLC is located at 3614 Blanding Blvd, Jacksonville, FL 32210. The listed phone number is (904) 419-7100.

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.

Does Dedicated Senior Medical Centers Of Florida, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2254692) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.