Healthcare Provider Details

I. General information

NPI: 1053599696
Provider Name (Legal Business Name): CENTRAL FLORIDA UROLOGY SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 05/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12109 CR 103
OXFORD FL
34484-2967
US

IV. Provider business mailing address

12109 CR 103
OXFORD FL
34484-2967
US

V. Phone/Fax

Practice location:
  • Phone: 352-391-6494
  • Fax: 352-694-6498
Mailing address:
  • Phone: 352-391-6494
  • Fax: 352-391-6498

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. HARVEY CARL TAUB
Title or Position: PRESIDENT
Credential: M.D.
Phone: 352-351-1313