Organization
ST JUDE MED AND REHAB CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YENISLEIDYS PEREZ LMT (PRESIDENT)
(786) 368-3309
Entity
Organization
Contact information
Practice address
6850 CORAL WAY, SUITE 401, MIAMI, FL 33155-1758
(786) 368-3309
Mailing address
6850 CORAL WAY, SUITE 401, MIAMI, FL 33155-1758
(786) 368-3309
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA44992
FL
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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