Organization · Type 2 NPI
Sunsouth St. Jude Health Care, LLC
General Practice Physician · Pembroke Pines, FL
NPI number
1548037807
Active
Practice location
8374 Pines Blvd
Pembroke Pines, FL 33024-6616
Fax (954) 429-6987
Mailing address
14690 Spring Hill Dr
Spring Hill, FL 34609-8102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1548037807
Sunsouth St. Jude Health Care, LLC's National Provider Identifier is 1548037807, issued on Dec 7, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Dec 12, 2023.