Healthcare Provider Details

I. General information

NPI: 1124458641
Provider Name (Legal Business Name): MIAMI UROLOGY & SEXUAL WELLNESS INSTITUTE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2013
Last Update Date: 11/09/2021
Certification Date: 11/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11181 HEALTH PARK BLVD STE 1115
NAPLES FL
34110-5742
US

IV. Provider business mailing address

11181 HEALTH PARK BLVD STE 1115
NAPLES FL
34110-5742
US

V. Phone/Fax

Practice location:
  • Phone: 239-597-4440
  • Fax: 239-597-4441
Mailing address:
  • Phone: 239-597-4440
  • Fax: 239-597-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberME71792
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM FIGLESTHALER I
Title or Position: PRESIDENT
Credential: M.D.
Phone: 239-597-4440