DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC.
NPI 1801320528
Specialist in St. Petersburg, FL

Q: What is Dedicated Senior Medical Center St. Petersburg, LLC.'s specialty?

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

Active since April 19, 2017CLIA 10D2131673 · Waiver

901 22ND AVENUE SOUTH, DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC., ST. PETERSBURG, FL 33705(305) 831-4761 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dedicated Senior Medical Center St. Petersburg, Llc. NPPES

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

DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC. (NPI 1801320528) is a healthcare organization registered as a specialist in St. Petersburg, Florida and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Gladys Fernandez-cortes, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1801320528

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC.

Location Address901 22ND AVENUE SOUTH, DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC.St. Petersburg, FL 33705

Mailing Address1395 Nw 167th Street, Chen Medical Corporate OfficeMiami Gardens, FL 33169 · (305) 831-4761 · Fax (305) 831-4761

Phone(305) 831-4761

Organization SubpartNo

Authorized OfficialGladys Fernandez-cortesManaging Director · (305) 498-4034

Enumeration DateApril 19, 2017

✔ NPI 1801320528 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

901 22ND AVENUE SOUTH, St. Petersburg, FL 33705

Open in Google Maps ↗

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 10D2131673

Dedicated Senior Medical Center - St Pete · Saint Petersburg, FL

Active · expires Jun 4, 2027

CLIA Number10D2131673

Laboratory TypePhysician Office

Certificate Effective DateJune 5, 2025

Certificate Expiration DateJune 4, 2027

Laboratory DirectorChristopher J. Chen

Laboratory Phone(305) 842-3910

Laboratory LocationDedicated Senior Medical Center - St Pete901 22nd Ave S, Saint Petersburg, FL 33705

CLIA data matches this NPI record on: Name

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 Center St. Petersburg, LLC.'s NPI number?

The NPI number for Dedicated Senior Medical Center St. Petersburg, LLC. is 1801320528. It was assigned to this organization in the NPPES registry on April 19, 2017.

Where is Dedicated Senior Medical Center St. Petersburg, LLC. located?

Dedicated Senior Medical Center St. Petersburg, LLC. is located at 901 22nd Avenue South Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705. The listed phone number is (305) 831-4761.

What is Dedicated Senior Medical Center St. Petersburg, LLC.'s specialty?

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

Does Dedicated Senior Medical Center St. Petersburg, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2131673) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dedicated Senior Medical Center St. Petersburg, 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 Center St. Petersburg, 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 Center St. Petersburg, LLC. was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.