MEDICARE: SOUTH COUNTY UROLOGY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	ME 46004	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DG5614	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9682429	OTHER	FL	GHI
2	21423	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1144270109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH COUNTY UROLOGY PA

Provider Business Mailing Address
First Line	:	5258 LINTON BLVD
Second Line	:	SUITE 203
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6540
Country	:	US
Telephone Number	:	561-495-7570
Fax Number	:	561-496-7074

Provider Business Practice Location Address
First Line	:	5258 LINTON BLVD
Second Line	:	SUITE 203
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6540
Country	:	US
Telephone Number	:	561-495-7570
Fax Number	:	561-496-7074

Authorized Official
Title or Position	:	OWNER
Name	:	MARK D ZIFFER
Credential	:	MD
Telephone Number	:	561-495-7570

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	08/16/2011

Similar Medicare Providers

1023018744 — DR. NATHALIE MARTINE BARNES MD
Practice Location Address:

5258 LINTON BLVD , SUITE 303
DELRAY BEACH, FL
33484-6540

Practice Phone: 561-495-5303
Practice Fax: 561-495-8316

1669441598 — STUART B HIMMELSTEIN M.D.
Practice Location Address:

5258 LINTON BLVD , SUITE 206
DELRAY BEACH, FL
33484-6540

Practice Phone: 561-495-9292
Practice Fax: 561-495-0221

1073582292 — STEVEN W BERLINER MD PA
Practice Location Address:

5258 LINTON BLVD , SUITE 203
DELRAY BEACH, FL
33484-6540

Practice Phone: 561-498-2000
Practice Fax: 561-496-7074

1003875907 — STEVEN W BERLINER M.D.
Practice Location Address:

5258 LINTON BLVD , SUITE 203
DELRAY BEACH, FL
33484-6540

Practice Phone: 561-498-2000
Practice Fax: 561-496-7074

1730142951 — DR. BARRY SEIDMAN M.D.
Practice Location Address:

5258 LINTON BLVD , SUITE 205
DELRAY BEACH, FL
33484-6540

Practice Phone: 561-499-5227
Practice Fax: 561-637-0919

1700832664 — DR. BRYAN J WASSERMAN MD
Practice Location Address:

5258 LINTON BLVD , STE 305
DELRAY BEACH, FL
33484-6540

Practice Phone: 561-498-7501
Practice Fax:

Directions to “SOUTH COUNTY UROLOGY PA ” Practice Location

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