Organization
SUNSOUTH ST. JUDE HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ARIAS (CEO)
(352) 277-5305
Entity
Organization
Contact information
Practice address
8374 PINES BLVD, PEMBROKE PINES, FL 33024-6616
(954) 429-6986
(954) 429-6987
Mailing address
14690 SPRING HILL DR, SPRING HILL, FL 34609-8102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/12/2023
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