OrganizationActive
Dedicated Senior Medical Center of Florida, LLC
NPI 1033626122 · Specialist · Jacksonville, FL
Provider details
- NPI number
- 1033626122
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Dedicated Senior Medical Center of Florida, LLC
- Organization subpart
- Yes
- Authorized official
- Mary Chen, Authorized Official(305) 628-6117
Specialties & taxonomies
Other Service Providers
- Non-Pharmacy Dispensing Site332900000X
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3059 Edgewood Avenue West
Jacksonville, FL 32209
Phone: (305) 628-6117
Street-level locationGet directions
Mailing address
1395 Nw 167th St
Miami Gardens, FL 33169-5710
Other names (DBA / former)
- Other name
- Dedicated Senior Medical Center Northside
Registry dates
- Enumerated
- 2018-01-10
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.