| St Jude Professional Service Inc | |
|
2387 W 68th St 504 Hialeah FL 33016-6889 | |
| (786) 360-1452 | |
| (786) 360-1877 |
| Full Name | St Jude Professional Service Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2387 W 68th St, Hialeah, Florida |
| Authorized Official Name and Position | Osvaldo Pineiro (PRESIDENT) |
| Authorized Official Contact | 7863601452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Jude Professional Service Inc 2387 W 68th St 504 Hialeah FL 33016-6889 Ph: (786) 360-1452 | St Jude Professional Service Inc 2387 W 68th St 504 Hialeah FL 33016-6889 Ph: (786) 360-1452 |
| NPI Number | 1679844336 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 03/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679844336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10256 (Florida) | Primary |
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