DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
NPI 1982375564
Non-Pharmacy Dispensing Site in Jacksonville, 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 September 23, 2021CLIA 10D2235799 · Waiver

1220 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211(904) 490-8700(904) 490-9810 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 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 1982375564), doing business as Dedicated Senior Medical Center Monterey, is a healthcare organization registered as a non-pharmacy dispensing site in Jacksonville, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Mary Chen, Authorized Offical, as its authorized official.

NPPES Registry Identity

NPI1982375564

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameDEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC

Location Address1220 UNIVERSITY BLVD NJacksonville, FL 32211-8852

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

Phone(904) 490-8700

Fax(904) 490-9810

Organization SubpartYesParent: Dedicated Senior Medical Centers Of Florida, Llc

Authorized OfficialMary ChenAuthorized Offical · (305) 628-6117

Enumeration DateSeptember 23, 2021

NPPES CertifiedSeptember 23, 2021

✔ NPI 1982375564 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.)

1220 UNIVERSITY BLVD N, Jacksonville, FL 32211

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Other Names 1

Doing Business AsDedicated Senior Medical Center Monterey

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 10D2235799

Dedicated Senior Medical Center Monterey · Jacksonville, FL

Active · expires Sep 12, 2027

CLIA Number10D2235799

Laboratory TypePhysician Office

Certificate Effective DateSeptember 13, 2025

Certificate Expiration DateSeptember 12, 2027

Laboratory DirectorChristopher Chen

Laboratory Phone(305) 842-3910

Laboratory LocationDedicated Senior Medical Center Monterey1220 University Blvd N, Jacksonville, FL 32211

CLIA data matches this NPI record on: Address Name

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

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Other Providers at the Same Location NPPES 6

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

MICHAEL DAVID

Pharmacist