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General NPI Number Information
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NPI Number | 1659423325
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Entity Type | Organization
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Legal Business Name | UROLOGY CENTER OF FLORIDA PA
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 550 SW 3RD STREET SUITE 305
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City | POMPANO BEACH
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State | FL
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Zip | 33060
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Country | US
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Telephone | 954-941-3333
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Fax | 954-941-2054
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Provider Business Mailing Address
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Address Line | 550 SW 3RD STREET SUITE 305
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City | POMPANO BEACH
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State | FL
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Zip | 33060
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Country | US
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Telephone | 954-941-3333
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Fax | 954-941-2054
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOSEPH PTALIS
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Credential |
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Telephone | 954-941-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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