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Organization
ST JUDE MEDICAL GROUP CORP
Active
Organization
ST JUDE MEDICAL GROUP CORP
Active
Other names
VIDAMAX MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL D GONZALEZ M.D. (PRESIDENT)
(786) 464-5120
Entity
Organization
Contact information
Practice address
2141 NW 7TH ST, MIAMI, FL 33125-3483
(786) 464-5120
(786) 464-5125
Mailing address
2141 NW 7TH ST, MIAMI, FL 33125-3483
(786) 464-5120
(786) 464-5125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/25/2013
Last updated
11/25/2024
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