Organization
ST JUDE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENISLEIDYS PEREZ LMT (PRESIDENT)
(786) 486-7719
Entity
Organization
Contact information
Practice address
2377 NW 2ND ST, MIAMI, FL 33125-5207
(786) 486-7719
Mailing address
2377 NW 2ND ST, MIAMI, FL 33125-5207
(786) 486-7719
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA44992
FL
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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