ST JUDE PROFESSIONAL SERVICE INC NPI 1679844336

NPI Information

ST JUDE PROFESSIONAL SERVICE INC is a clinic center in Hialeah, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ST JUDE PROFESSIONAL SERVICE INC NPI is 1679844336. The provider is registered as an organization entity type.

The provider's business location address is:

2387 W 68TH ST
504
HIALEAH, FL
ZIP 33016-889
Phone: (786) 360-1452
Fax: (786) 360-1877

The provider's authorized official is Osvaldo Pineiro .
The authorized official title is President and has the following contact phone number (786) 360-1452.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 3/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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