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Contact Information

ST. JUDE MEDICAL & AESTHETIC CARE CENTER, LLC
131 N MOON AVE
SUITES 3 & 4
BRANDON, FL33510-4418
 Phone: 813-315-9898
 Fax: 813-438-5967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Clinical Pharmacology

208U00000X
 

Dietary Manager

132700000X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Personal Emergency Response Attendant

146D00000X
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ST JUDE MEDICAL AESTHETIC CARE CENTER LLC · (Female)

NPI # 1518260090
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2010
Last updated 10/08/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME107980
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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