| St Jude Medical Clinic Inc | |
|
5200 Sw 8th St Suite 200 Coral Gables FL 33134-2300 | |
| (305) 569-0349 | |
| Not Available |
| Full Name | St Jude Medical Clinic Inc |
|---|---|
| Speciality | General Practice |
| Location | 5200 Sw 8th St, Coral Gables, Florida |
| Authorized Official Name and Position | Juan Riveron (OWNER) |
| Authorized Official Contact | 3055690349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Jude Medical Clinic Inc 5200 Sw 8th St Suite 200 Coral Gables FL 33134-2300 Ph: (305) 569-0349 | St Jude Medical Clinic Inc 5200 Sw 8th St Suite 200 Coral Gables FL 33134-2300 Ph: (305) 569-0349 |
| NPI Number | 1700207479 |
|---|---|
| Provider Enumeration Date | 12/26/2013 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700207479 | NPI | - | NPPES |
| HCC10040 | Other | FL | HEALTH CARE CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | HCC10040 (Florida) | Primary |
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