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General NPI Number Information
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NPI Number | 1770193450
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Entity Type | Organization
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Legal Business Name | FLORIDA UROLOGICAL CENTER
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 10/12/2025
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Provider Practice Location Address
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Address Line | 8669 NW 36TH ST STE 325
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City | DORAL
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State | FL
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Zip | 33166-6698
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Country | US
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Telephone | 786-393-0058
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Fax |
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Provider Business Mailing Address
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Address Line | 8669 NW 36TH ST STE 325
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City | DORAL
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State | FL
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Zip | 33166-6698
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Country | US
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Telephone | 305-925-8118
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Fax | 305-925-8119
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Authorized Official
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Title or Position | UROLOGIST
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Name | DARREN BRUCK
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Credential |
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Telephone | 305-925-8118
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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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