Healthcare Provider Details

I. General information

NPI: 1669539409
Provider Name (Legal Business Name): JOJI U URLANDA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 GOODLETTE RD N STE 104
NAPLES FL
34102-5609
US

IV. Provider business mailing address

PO BOX 111089
NAPLES FL
34108-0119
US

V. Phone/Fax

Practice location:
  • Phone: 239-649-4565
  • Fax: 239-649-4284
Mailing address:
  • Phone: 239-649-4565
  • Fax: 239-649-4284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME79489
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: