OrganizationActive
St Jude Medical Group Corp
NPI 1356167365 · Clinic/Center · Hollywood, FL
St Jude Medical Group Corp is a Clinic/Center organization in Hollywood, FL (NPI 1356167365).
Provider details
- NPI number
- 1356167365
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Manuel Gonzalez, Medical Director(786) 464-5120
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6109 Pembroke Rd
Hollywood, FL 33023-2213
Phone: (954) 239-7054
Fax: (786) 464-5125
Street-level locationGet directions
Mailing address
2141 Nw 7th St
Miami, FL 33125-3483
Other names (DBA / former)
- Doing business as
- Vidamax Medical Center
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2024-11-25
- Certified
- 2024-11-25
Frequently asked questions
- What is St Jude Medical Group Corp's NPI number?
- St Jude Medical Group Corp's National Provider Identifier (NPI) is 1356167365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Jude Medical Group Corp?
- St Jude Medical Group Corp is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is St Jude Medical Group Corp located?
- St Jude Medical Group Corp's practice location on file with NPPES is 6109 Pembroke Rd, Hollywood, FL 33023-2213.
- What is St Jude Medical Group Corp's phone number?
- The practice phone number listed in the NPPES registry for St Jude Medical Group Corp is (954) 239-7054.
- Who is the authorized official for St Jude Medical Group Corp?
- The authorized official listed on St Jude Medical Group Corp's NPPES record is Manuel Gonzalez, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Jude Medical Group Corp's NPI active?
- Yes — St Jude Medical Group Corp's NPI (1356167365) is active in the NPPES registry as of the last update on 2024-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.