Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dedicated Missouri Holding, LLC

Organization Internal Medicine Physician · NPI 1053958082

Dedicated Missouri Holding, LLC is an Internal Medicine Physician in Miami Gardens, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1395 NW 167th St
Miami Gardens, FL 33169-5710
Phone: (305) 628-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1053958082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Chen — Authorized Official · (305) 831-4722
NPI enumeratedDecember 10, 2019
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address1395 Nw 167th St, Miami Gardens, FL 33169-5710

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