ST JUDE MEDICAL GROUP CORP
NPI 1982420998
Clinic/Center in Hialeah Gardens, FL

Active since November 25, 2024
11300 NW 87TH CT STE 141, HIALEAH GARDENS, FL 33018(786) 464-5120(786) 464-5125 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 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 1982420998), doing business as Vidamax Medical Center, is a healthcare organization registered as a clinic/center in Hialeah Gardens, 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

NPI1982420998
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameST JUDE MEDICAL GROUP CORP
Location Address11300 NW 87TH CT STE 141Hialeah Gardens, FL 33018-4520
Mailing Address2141 Nw 7th StMiami, FL 33125-3483 · (786) 464-5120 · Fax (786) 464-5125
Fax(786) 464-5125
Organization SubpartNo
Authorized OfficialManuel D. GonzalezMedical Director · (786) 464-5120
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1982420998 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).

11300 NW 87TH CT STE 141, Hialeah Gardens, FL 33018

Other Names 1

Doing Business AsVidamax Medical Center

Other Providers at the Same Location NPPES

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

Physician Assistant
11300 NW 87TH CT STE 141
HIALEAH GARDENS, FL 33018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982420998, enumerated as an "organization" on November 25, 2024.

The provider is located at 11300 NW 87TH CT STE 141 HIALEAH GARDENS, FL 33018 and the phone number is (786) 464-5120.

Clinic/Center with taxonomy code 261Q00000X.