is a Urology in Pembroke Pines, Florida. practices all healthcare services and medical treatments related to Urology. The NPI Number for is 1588775068. The last update date is .
's current location address is 601 N Flamingo Rd Ste 308, Pembroke Pines, Florida. You can contact this provider via phone number 9543927770 and fax number 9543927577. The mailing address for is 601 N Flamingo Rd Ste 308, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 601 N Flamingo Rd Ste 308, Pembroke Pines, Florida |
| Phone Number | 9543927770 |
| Fax Number | 9543927577 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588775068 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 601 N Flamingo Rd Ste 308 |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 330281010 |
| Phone Number | 9543927770 |
| Fax Number | 9543927577 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | ME84787 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269261900 | FL | -- | |
| 82012 | FL | BC/BS PROVIDER NUMBER | |
| 1001006 | NY | GHI PROVIDER NUMBER | |
| 292536 | FL | AVMED PROVIDER NUMBER | |
| 4637949 | FL | CIGNA PROVIDER NUMBER | |
| 47364 | FL | NHP PROVIDER NUMBER |
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