ST. JUDE MEDICAL & AESTHETIC CARE CENTER, LLC

BRANDON, FL
NPI1518260090
Doing Business AsST. JUDE MEDICAL CENTER & AESTHETIC CARE
Entity TypeOrganization
Authorized ContactGODWIN STANLEY OKOYE
Medical Director
813-330-6613
Organization Subpart ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: FL  ME107980)
Additional Taxonomies2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
132700000X Dietary Manager
146D00000X Personal Emergency Response Attendant
(Licence: FL  ME107980)
207QA0401X Family Medicine, Addiction Medicine
(Licence: FL  ME107980)
208D00000X General Practice
(Licence: FL  ME107980)
208U00000X Clinical Pharmacology
(Licence: FL  ME107980)
Enumeration Date2010-12-06
Last Update Date2013-10-08
Business Address
ST. JUDE MEDICAL & AESTHETIC CARE CENTER, LLC
131 N MOON AVE SUITES 3 & 4
BRANDON, FL 33510-4418
Phone number: 813-315-9898
Mailing Address
ST. JUDE MEDICAL & AESTHETIC CARE CENTER, LLC
4810 PORTOBELLO CIR
VALRICO, FL 33596
Phone number: 813-315-9898