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Contact Information

UROLOGY HEALTHCARE OF CENTRAL FLORIDA,P.A
2217 NORTH BOULEVARD WEST
DAVENPORT, FL33837
 Phone: 863-421-3456
 Fax: 863-421-3466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for UROLOGY HEALTHCARE OF CENTRAL FLORIDAPA · (Female)

NPI Number 1124037007
Status Active
Credentials
Entity Individual
Enumeration date 08/07/2006
Last updated 02/18/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME0080612
  • FL Other K1998 MEDICARE GROUP NUMBER
  • FL Other 1900258 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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