NPI Provider: 1629074562
Contact Name: Jordan W David
Position: Administrator
Phone: (727) 835-3271
Urology Center Partnership Information:
Urology Center Partnership organization have npi 1629074562, taxonomy code is 208800000X with license number is ME 62352 in . This Business address located in 5652 Meadowlane St, New Port Richey, FL 34652 Florida.
Practice Location
Address: 5652 Meadowlane St, New Port Richey, FL 34652
Phone: (727) 842-9561
Business Location
Address: 5652 Meadowlane St, New Port Richey, FL 34652
Phone: (727) 842-9561
Fax: (727) 848-7270
Taxonomy
Taxonomy Code: 208800000X
License Number: ME 62352
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 6/24/2005
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