St. Jude Medical Center & Aesthetic Care

LBN: St. Jude Medical & Aesthetic Care Center, Llc
St. Jude Medical Center & Aesthetic Care is an health care organization with primary practice located at 131 N Moon Ave Suites 3 & 4, Brandon FL 33510-4418. The organization recently has 7 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Clinical Pharmacology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. St. Jude Medical & Aesthetic Care Center, Llc can be contacted via phone (813) 315-9898, or through Okoye, Godwin Stanley via phone (813) 330-6613.

Contact Information

Primary practice address
131 N Moon Ave Suites 3 & 4 Brandon FL 33510-4418
Phone: (813) 315-9898
Fax: (813) 438-5967
Website:
Map and Directions
Authorized official contact:
Name: Okoye, Godwin Stanley Doctor of Medicine (MD)
Phone: (813) 330-6613

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X ME107980 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X ME107980 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME107980 Florida
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME107980 Florida
Allopathic & Osteopathic Physicians / Clinical Pharmacology 208U00000X ME107980 Florida

Profile Details

NPI number 1518260090
LBN Legal business name St. Jude Medical & Aesthetic Care Center, Llc
DBA Doing business as St. Jude Medical Center & Aesthetic Care
Authorized official Okoye, Godwin Stanley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2010
Last updated Oct 8th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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