Healthcare Provider Details

I. General information

NPI: 1235308115
Provider Name (Legal Business Name): SPECIALISTS IN UROLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 06/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 PINE RIDGE RD DESK 32
NAPLES FL
34119-3900
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 239-352-6670
  • Fax: 239-352-7258
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 State

VIII. Authorized Official

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