St Jude Medical Group Corp | |
2040 Washington St Hollywood FL 33020-6930 | |
(754) 348-5001 | |
(786) 464-5125 |
Full Name | St Jude Medical Group Corp |
---|---|
Speciality | Clinic/center |
Location | 2040 Washington St, Hollywood, 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 |
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St Jude Medical Group Corp 2141 Nw 7th St Miami FL 33125-3483 Ph: (786) 464-5120 | St Jude Medical Group Corp 2040 Washington St Hollywood FL 33020-6930 Ph: (754) 348-5001 |
NPI Number | 1760208771 |
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Provider Enumeration Date | 11/25/2024 |
Last Update Date | 11/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760208771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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