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ST JUDE MEDICAL GROUP CORP
NPI 1760208771
Clinic/Center in Hollywood, FL

Active since November 25, 2024
2040 WASHINGTON ST, HOLLYWOOD, FL 33020(754) 348-5001(786) 464-5125 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Jude Medical Group Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JUDE MEDICAL GROUP CORP (NPI 1760208771), doing business as Vidamax Medical Center, is a healthcare organization registered as a clinic/center in Hollywood, Florida and active in the NPI registry since November 2024. The organization lists Manuel D. Gonzalez, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1760208771
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameST JUDE MEDICAL GROUP CORP
Location Address2040 WASHINGTON STHollywood, FL 33020-6930
Mailing Address2141 Nw 7th StMiami, FL 33125-3483 · (786) 464-5120 · Fax (786) 464-5125
Phone(754) 348-5001
Fax(786) 464-5125
Organization SubpartNo
Authorized OfficialManuel D. GonzalezMedical Director · (786) 464-5120
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1760208771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
2040 WASHINGTON ST, Hollywood, FL 33020
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Other Names 1

Doing Business AsVidamax Medical Center

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNITY CARE MANAGEMENT CORP
Case Management
2040 WASHINGTON ST
HOLLYWOOD, FL 33020
Broward County (813) 900-3684
VIDAMAX DENTAL GROUP CORP
Clinic/Center (Dental)
2040 WASHINGTON ST
HOLLYWOOD, FL 33020
Broward County (754) 348-5001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Jude Medical Group Corp's NPI number?

The NPI number for St Jude Medical Group Corp is 1760208771. It was assigned to this organization in the NPPES registry on November 25, 2024. The provider is doing business as Vidamax Medical Center.

Where is St Jude Medical Group Corp located?

St Jude Medical Group Corp is located at 2040 Washington St, Hollywood, FL 33020. The listed phone number is (754) 348-5001.

What is St Jude Medical Group Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for St Jude Medical Group Corp was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.