Healthcare Provider Details

I. General information

NPI: 1043468754
Provider Name (Legal Business Name): SPECIALIST IN UROLOGY, PA.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2008
Last Update Date: 11/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 COLLIER BLVD STE 402
NAPLES FL
34114-3626
US

IV. Provider business mailing address

990 TAMIAMI TRL N STE 200
NAPLES FL
34102-5403
US

V. Phone/Fax

Practice location:
  • Phone: 239-732-1340
  • Fax: 239-732-1243
Mailing address:
  • Phone: 239-434-6300
  • Fax: 239-434-7174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WILLIAM FIGLESTHALER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 239-434-6300