# JUDE MEDICAL CLINIC LLC

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

## Provider details

- **NPI number:** 1821270380
- **Authorized official:** KAYODE SOTONWA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (727) 531-6700

## Contact information

- **Practice address:** 2700 E BAY DR, STE 101, LARGO, FL 33771-2468
- **Practice address phone:** (727) 531-6700
- **Mailing address:** 2700 E BAY DR, STE 101, LARGO, FL 33771-2468
- **Mailing address phone:** (727) 531-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME90545 | FL | Yes |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 11/27/2007