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NPI Code Detail

MEDICARE: SPECIALISTS IN UROLOGY, P.A.

MEDICARE: SPECIALISTS IN UROLOGY, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician
2207RX0202XMedical Oncology Physician

General Provider Information

NPI Number : 1407109317
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALISTS IN UROLOGY, P.A.
Provider Business Mailing Address
First Line : 955 10TH AVE N
Second Line :
City : NAPLES
State : FL
Zip : 34102-5452
Country : US
Telephone Number : 239-434-6300
Fax Number : 239-325-2285
Provider Business Practice Location Address
First Line : 8350 SIERRA MEADOWS BLVD
Second Line :
City : NAPLES
State : FL
Zip : 34113-7328
Country : US
Telephone Number : 239-434-6300
Fax Number : 238-325-2285
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM MATHEW FIGLESTHALER
Credential : M.D.
Telephone Number : 239-434-6300
Provider Enumeration Date : 10/17/2012
Last Update Date : 10/17/2012

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Directions to “SPECIALISTS IN UROLOGY, P.A. ” Practice Location

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