Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Jude Medical Clinic Inc

Organization General Practice Physician · NPI 1700207479

St Jude Medical Clinic Inc is a General Practice Physician in Coral Gables, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5200 SW 8th St Ste 200
Coral Gables, FL 33134-2300
Phone: (305) 569-0349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence HCC10040 (FL)

Record details

NPI number1700207479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Riveron — Owner · (305) 569-0349
NPI enumeratedDecember 26, 2013
Last updated in NPPESMarch 3, 2014
Mailing address5200 Sw 8th St, Suite 200, Coral Gables, FL 33134-2300

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