| NPI | 1205529732 | 
|---|---|
| Doing Business As | DEDICATED SENIOR MEDICAL CENTER NORTHSTAR | 
| Entity Type | Organization | 
| Authorized Contact | MARY CHEN Authorized Official 305-628-6117  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site | 
| Enumeration Date | 2023-05-31 | 
| Last Update Date | 2023-05-31 |