Organization
JUDE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYODE SOTONWA M.D. (MEDICAL DIRECTOR)
(727) 531-6700
Entity
Organization
Contact information
Practice address
2700 E BAY DR, STE 101, LARGO, FL 33771-2468
(727) 531-6700
Mailing address
2700 E BAY DR, STE 101, LARGO, FL 33771-2468
(727) 531-6700
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME90545
FL
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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