# ST JUDE MEDICAL EQUIPMENT CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255820700
- **Authorized official:** LENSKY HERNANDEZ JOSE SANTIAGO (PRESIDENT)
- **Authorized official phone:** (786) 451-9416

## Contact information

- **Practice address:** 175 FONTAINEBLEAU BLVD STE 2G6A, MIAMI, FL 33172-7012
- **Practice address phone:** (786) 451-9416
- **Mailing address:** 175 FONTAINEBLEAU BLVD STE 2G6A, MIAMI, FL 33172-7012
- **Mailing address phone:** (786) 451-9416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2018
- **Last updated:** 05/09/2018