MEDICARE: CENTRAL FLORIDA UROLOGY ASSOCIATES

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
1	208800000X	Urology Physician

General Provider Information

NPI Number	:	1427023829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL FLORIDA UROLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	4106 W LAKE MARY BLVD STE 215
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3344
Country	:	US
Telephone Number	:	407-332-7700
Fax Number	:	321-275-0344

Provider Business Practice Location Address
First Line	:	4106 W LAKE MARY BLVD STE 215
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3344
Country	:	US
Telephone Number	:	407-332-7700
Fax Number	:	321-275-0344

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MICHAEL D FRIEDMAN
Credential	:	MD
Telephone Number	:	407-332-7700

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	03/17/2018

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