MEDICARE: UROLOGY HEALTH MEDICAL GROUP PLLC

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

General Provider Information

NPI Number	:	1356205413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UROLOGY HEALTH MEDICAL GROUP PLLC

Provider Business Mailing Address
First Line	:	9371 SW 78TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2720
Country	:	US
Telephone Number	:	813-997-6036
Fax Number	:

Provider Business Practice Location Address
First Line	:	9371 SW 78TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2720
Country	:	US
Telephone Number	:	813-997-6036
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER AND CEO
Name	:	DR. STUART RICHARD HART
Credential	:	MD
Telephone Number	:	813-997-6036

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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