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DEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC
NPI 1346810686
Non-Pharmacy Dispensing Site in Orlando, FL

Active since June 29, 2021CLIA 10D2234294 · Waiver
904 LEE RD STE 200, ORLANDO, FL 32810(407) 723-7373 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 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 1346810686), doing business as Dedicated Senior Medical Center Fairview Shores, is a healthcare organization registered as a non-pharmacy dispensing site in Orlando, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Mary Chen, Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1346810686
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC
Location Address904 LEE RD STE 200Orlando, FL 32810-5561
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Phone(407) 723-7373
Organization SubpartYes
Authorized OfficialMary ChenExecutive Officer · (305) 628-6117
Enumeration DateJune 29, 2021
NPPES CertifiedJune 29, 2021
✔ NPI 1346810686 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.)
904 LEE RD STE 200, Orlando, FL 32810
Open in Google Maps ↗

Other Names 1

Doing Business AsDedicated Senior Medical Center Fairview Shores

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 10D2234294

Dedicated Senior Medical Center - Fairview Shores · Orlando, FL
Active · expires Aug 29, 2027
CLIA Number10D2234294
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorGordon Chen
Laboratory Phone(305) 842-3910
Laboratory LocationDedicated Senior Medical Center - Fairview Shores904 Lee Road Suite 200, Orlando, FL 32810
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 10

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

BIANCA IOANA DUBOVAN MD
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 732-7373
DR. ROZA SABRI MD
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 732-7373
TOLULOPE OLAKUNLE ABIKOYE MD MPH
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 732-7373
MR. JUAN CAMILO GARCIA SAUCEDO MD
Internal Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 723-7373
TIMOTHY CHAN DO
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 723-7373
SOPHIA POTHEN DO
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 723-7373
JORDAN CLEAR DO
Student in an Organized Health Care Education/Training Program
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 723-7373
DR. ANDREA NALBORCZYK MD
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 723-7373

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 1346810686. It was assigned to this organization in the NPPES registry on June 29, 2021. The provider is doing business as Dedicated Senior Medical Center Fairview Shores.

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

Dedicated Senior Medical Centers Of Florida, LLC is located at 904 Lee Rd Ste 200, Orlando, FL 32810. The listed phone number is (407) 723-7373.

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 10D2234294) is associated with this NPI, valid through August 29, 2027. 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 June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.