Healthcare Provider Details

I. General information

NPI: 1356205413
Provider Name (Legal Business Name): UROLOGY HEALTH MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9371 SW 78TH CT
MIAMI FL
33156-2720
US

IV. Provider business mailing address

9371 SW 78TH CT
MIAMI FL
33156-2720
US

V. Phone/Fax

Practice location:
  • Phone: 813-997-6036
  • Fax:
Mailing address:
  • Phone: 813-997-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STUART RICHARD HART
Title or Position: FOUNDER AND CEO
Credential: MD
Phone: 813-997-6036