| St Jude Medical Group Corp | |
|
11300 Nw 87th Ct Ste 141 Hialeah Gardens FL 33018-4520 | |
| (786) 464-5120 | |
| (786) 464-5125 |
| Full Name | St Jude Medical Group Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 11300 Nw 87th Ct Ste 141, Hialeah Gardens, Florida |
| Authorized Official Name and Position | Manuel D. Gonzalez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7864645120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Jude Medical Group Corp 2141 Nw 7th St Miami FL 33125-3483 Ph: (786) 464-5120 | St Jude Medical Group Corp 11300 Nw 87th Ct Ste 141 Hialeah Gardens FL 33018-4520 Ph: (786) 464-5120 |
| NPI Number | 1982420998 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982420998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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