MEDICARE: UROLOGY HEALTH SOLUTIONS INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316976046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UROLOGY HEALTH SOLUTIONS INC

Provider Business Mailing Address
First Line	:	410 CELEBRATION PL
Second Line	:	STE 203
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5433
Country	:	US
Telephone Number	:	407-566-1105
Fax Number	:	407-566-1106

Provider Business Practice Location Address
First Line	:	410 CELEBRATION PL
Second Line	:	STE 203
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5433
Country	:	US
Telephone Number	:	407-566-1105
Fax Number	:	407-566-1106

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD RAOUL LOTENFOE
Credential	:	M.D.
Telephone Number	:	407-566-1105

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	01/30/2008

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Directions to “UROLOGY HEALTH SOLUTIONS INC ” Practice Location

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