NPI Provider: 1306844931
Contact Name: Jordan W. David
Position: Administrator
Phone: (727) 835-3271
Urology Center Partnership Information:
Urology Center Partnership organization have npi 1306844931, taxonomy code is 208800000X with license number is ME15746 in . This Business address located in 5652 Meadow Lane, New Port Richey, FL 34652 Florida.
Practice Location
Address: 5252 Meadow Lane, New Port Richey, FL 34652
Phone: (727) 842-9561
Business Location
Address: 5652 Meadow Lane, New Port Richey, FL 34652
Phone: (727) 842-9561
Fax: (727) 848-7270
Taxonomy
Taxonomy Code: 208800000X
License Number: ME15746
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 7/8/2005
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