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

St Jude Medical Group Corp

Organization Clinic/Center · NPI 1760208771

St Jude Medical Group Corp is a Clinic/Center in Hollywood, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2040 Washington St
Hollywood, FL 33020-6930
Phone: (754) 348-5001
Fax: (786) 464-5125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1760208771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Gonzalez — Medical Director · (786) 464-5120
Other names Vidamax Medical Center
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address2141 Nw 7th St, Miami, FL 33125-3483

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