DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
NPI 1811599376
Non-Pharmacy Dispensing Site in Orlando, 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 November 10, 2020CLIA 10D2227861 · Waiver

4613 S ORANGE BLOSSOM TRL, ORLANDO, FL 32839(407) 232-9833 Get Directions Write a Review

NPPES record last updated: November 10, 2020. 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 1811599376), doing business as Dedicated Senior Medical Center Orange Blossom Trail, is a healthcare organization registered as a non-pharmacy dispensing site in Orlando, Florida and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Mary Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1811599376

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameDEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC

Location Address4613 S ORANGE BLOSSOM TRLOrlando, FL 32839-1705

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710

Phone(407) 232-9833

Organization SubpartYes

Authorized OfficialMary ChenOwner · (305) 628-6117

Enumeration DateNovember 10, 2020

NPPES CertifiedNovember 10, 2020

✔ NPI 1811599376 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.)

4613 S ORANGE BLOSSOM TRL, Orlando, FL 32839

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Other Names 1

Doing Business AsDedicated Senior Medical Center Orange Blossom Trail

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 10D2227861

Dedicated Senior Medical Center - Orange Blossom Trail · Orlando, FL

Active · expires Jun 16, 2027

CLIA Number10D2227861

Laboratory TypePhysician Office

Certificate Effective DateJune 17, 2025

Certificate Expiration DateJune 16, 2027

Laboratory DirectorGordon Chen

Laboratory Phone(305) 842-3910

Laboratory LocationDedicated Senior Medical Center - Orange Blossom Trail4613 S Orange Blossom Trail, Orlando, FL 32839

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

NATACHA SEIDU ARNP

Nurse Practitioner (Family)