Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

St Jude Medical Clinic Inc

Organization General Practice Physician · NPI 1700207479

St Jude Medical Clinic Inc provides General Practice Physician services in Coral Gables, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5200 SW 8th St Ste 200
Coral Gables, FL 33134-2300 Not confirmed with CMS for 12 years — call before visiting
Phone: (305) 569-0349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence HCC10040 (FL)

Record details

NPI number1700207479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Riveron — Owner · (305) 569-0349
NPI enumeratedDecember 26, 2013
Last updated in NPPESMarch 3, 2014
Mailing address5200 Sw 8th St, Suite 200, Coral Gables, FL 33134-2300

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