DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC (NPI# 1811404908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811404908 |
| Entity Type | Organization |
| Organization Name | DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC |
| Other Organization Name | DEDICATED SENIOR MEDICAL CENTER BRADENTON |
| Practice Address |
1505 53rd Ave Bradenton FL 34203 |
| Mailing Address |
1395 Nw 167th Street Miami Gardens FL 33169 |
| Practice Telephone | 3056286117 |
| Mailing Telephone | 3056286117 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | MR. RAYMOND JIMENEZ (DIRECTOR OF CLIENT SERVICES) |
| Authorized Official Telephone | 3056286117 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Dedicated Senior Medical Center Bradenton | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| 1700393881 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1901 Fletcher Avenue, Tampa, FL 33612 | 2018-01-10 |
| 1033626122 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 3059 Edgewood Avenue West, Jacksonville, FL 32209 | 2018-01-10 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1184185381 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 5848 West Atlantic Ave Suite 143, Delray Beach, FL 33484 | 2019-03-29 |
| 1780145193 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 4998 10th Ave N, Greenacres, FL 33463-2210 | 2019-03-28 |
| 1134680549 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 3002 Broadway, Riviera Beach, FL 33404-2322 | 2019-03-28 |
| 1114434206 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 6841 Blanding Blvd, Jacksonville, FL 32244 | 2018-01-10 |
| 1659888741 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 7050 Ulmerton Rd, Largo, FL 33771 | 2018-01-10 |
| 1881055366 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1395 Nw 167th St, Miami Gardens, FL 33169-5742 | 2016-03-11 |
| Street Address |
1505 53RD AVE |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| 1619227295 | Ma Lourdes Fabello | General Acute Care Hospital | 5118 Wedge Ct E, Bradenton, FL 34203 | 2012-09-11 |
| Find all providers in zip 34203 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432053 | Elite Anesthesia of Florida LLC | Specialist | 342 Castaway Cay Drive, Bradenton, FL 34209-2209 | 2015-07-14 |
| 1417340969 | Patti L Wood | Specialist | 3931 Riverview Blvd, Bradenton, FL 34209-2000 | 2015-03-09 |
| 1669804613 | Ipm Institute, Inc. | Specialist | 1215 Bayshore Gardens Pkwy, Bradenton, FL 34207-4857 | 2013-08-01 |
| 1477801108 | Justitia Haddad | Specialist | 4312 55th Ave Drive East, Bradenton, FL 34203 | 2012-08-28 |
| 1922374727 | Kristin E Stella | Specialist | 6907 22nd St W, Bradenton, FL 34207-5702 | 2012-03-26 |
| 1033410576 | Florida Coastal Plastic Sugery | Specialist | 5105 Manatee Avenue West, Suit 19, Bradenton, FL 34209-3715 | 2010-11-16 |
| 1659689081 | De'ann Burton | Specialist | 710 137th St Ne, Bradenton, FL 34212-2751 | 2010-09-20 |
| 1831413327 | Richard Rizzuto Md Pa | Specialist | 3938 E State Road 64, Bradenton, FL 34208-9059 | 2010-03-26 |
| 1922333186 | Macula and Diabetic Eye Center LLC | Specialist | 4916 26th St W, Ste 200, Bradenton, FL 34207-1712 | 2009-10-06 |
| 1811134794 | Coastal Orthopedics & Sports Medicine of Southwest Fl, Pa | Specialist | 5101 4th Avenue Cir E Ste 500, Bradenton, FL 34208-5631 | 2009-01-14 |
| Find all providers in BRADENTON | ||||
Please comment or provide details below to improve the information on DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.