Healthcare Provider Details

I. General information

NPI: 1497716831
Provider Name (Legal Business Name): BAY AREA UROLOGY, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6043 WINTHROP COMMERCE AVE SUITE 201
RIVERVIEW FL
33578-4272
US

IV. Provider business mailing address

6043 WINTHROP COMMERCE AVE SUITE 201
RIVERVIEW FL
33578-4272
US

V. Phone/Fax

Practice location:
  • Phone: 813-685-0827
  • Fax: 813-655-4204
Mailing address:
  • Phone: 813-685-0827
  • Fax: 813-655-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT L KARP
Title or Position: PHYSICIAN/OWNER
Credential: MD,F.A.C.S.
Phone: 813-685-0827