DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
NPI 1780145193
Non-Pharmacy Dispensing Site in Greenacres, FL

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

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

Active since March 28, 2019CLIA 10D2172231 · Waiver

4998 10TH AVE N, GREENACRES, FL 33463(561) 293-2900(305) 393-5989 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dedicated Senior Medical Center Of Florida, Llc NPPES

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

DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC (NPI 1780145193) is a healthcare organization registered as a non-pharmacy dispensing site in Greenacres, Florida and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Mary Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1780145193

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameDEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC

Location Address4998 10TH AVE NGreenacres, FL 33463-2210

Mailing Address4998 10th Ave NGreenacres, FL 33463-2210 · (561) 293-2900 · Fax (305) 393-5989

Phone(561) 293-2900

Fax(305) 393-5989

Organization SubpartNo

Authorized OfficialMary ChenOwner · (305) 628-6117

Enumeration DateMarch 28, 2019

✔ NPI 1780145193 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.)

4998 10TH AVE N, Greenacres, FL 33463

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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 10D2172231

Dedicated Senior Medical Center · Greenacres, FL

Active · expires Aug 25, 2027

CLIA Number10D2172231

Laboratory TypePhysician Office

Certificate Effective DateAugust 26, 2025

Certificate Expiration DateAugust 25, 2027

Laboratory DirectorChristopher J. Chen

Laboratory Phone(786) 570-0748

Laboratory LocationDedicated Senior Medical Center4998 10th Avenue North, Greenacres, FL 33463

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 11

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

MS. MELISSA RAYMONDE ELIZEE M.D.

Family Medicine