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NPI Code Detail

MEDICARE: ADVANCED UROLOGY ASSOCIATES OF FLORIDA PL

MEDICARE: ADVANCED UROLOGY ASSOCIATES OF FLORIDA PL
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
1208800000XUrology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11OTHERFLNO NUMBER ISSUED YET
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578514105
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED UROLOGY ASSOCIATES OF FLORIDA PL
Provider Business Mailing Address
First Line : 1986 35TH AVE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-2533
Country : US
Telephone Number : 772-562-7220
Fax Number : 772-562-5476
Provider Business Practice Location Address
First Line : 1986 35TH AVE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-2533
Country : US
Telephone Number : 772-562-7220
Fax Number : 772-562-5476
Authorized Official
Title or Position : OFFICER
Name : DR. JOSEPH P CRAWFORD
Credential :
Telephone Number : 772-562-7220
Provider Enumeration Date : 05/16/2006
Last Update Date : 04/24/2014

Similar Medicare Providers

1689661738 — JOSEPH PUTNAM CRAWFORD MD
Practice Location Address:
1986 35TH AVE
VERO BEACH, FL
32960-2533
Practice Phone: 772-562-7220
Practice Fax: 772-562-5476
1659356632 — DR. CYNTHIA S CRAWFORD MD
Practice Location Address:
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1124077441 — JOSEPH P. CRAWFORD, MD PA
Practice Location Address:
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VERO BEACH, FL
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1316139959 — DR. MIGUEL A RIVERA M.D.
Practice Location Address:
1986 35TH AVE
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Practice Fax:
1629385828 — NANCY KEARNEY LPN
Practice Location Address:
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VERO BEACH, FL
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1558798470 — INDIAN RIVER PHYSICIANS LLC
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Directions to “ADVANCED UROLOGY ASSOCIATES OF FLORIDA PL ” Practice Location

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