MEDICARE: UROLOGY PROFESSIONALS OF SOUTH FLORIDA LLC

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	ME101466	FL

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	:	1578964524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UROLOGY PROFESSIONALS OF SOUTH FLORIDA LLC

Provider Business Mailing Address
First Line	:	3939 HOLLYWOOD BLVD STE 3A
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6736
Country	:	US
Telephone Number	:	305-836-1090
Fax Number	:	305-836-1199

Provider Business Practice Location Address
First Line	:	3939 HOLLYWOOD BLVD STE 3A
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6736
Country	:	US
Telephone Number	:	305-836-1090
Fax Number	:	305-836-1199

Authorized Official
Title or Position	:	MGRM
Name	:	DR. MATTHEW K HASFORD
Credential	:	MD
Telephone Number	:	954-610-6069

Provider Enumeration Date	:	09/09/2014
Last Update Date	:	12/31/2024

Similar Medicare Providers

1407848195 — DR. MATTHEW KOBINA HASFORD M.D.
Practice Location Address:

3939 HOLLYWOOD BLVD STE 3A
HOLLYWOOD, FL
33021-6736

Practice Phone: 305-836-1090
Practice Fax: 305-836-1199

1467118745 — UROLOGY PROFESSIONALS OF SOUTH FLORIDA LLC
Practice Location Address:

3939 HOLLYWOOD BLVD STE 3A
HOLLYWOOD, FL
33021-6736

Practice Phone: 954-961-7700
Practice Fax:

1003618257 — LEON KODABAKSHIAN
Practice Location Address:

6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA
91606-1576

Practice Phone: 818-755-8786
Practice Fax:

1386431070 — CHLORIZA AVILA
Practice Location Address:

6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA
91606-1576

Practice Phone: 818-755-8786
Practice Fax:

1154968550 — KAELA ALVARADO
Practice Location Address:

6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA
91606-1576

Practice Phone: 818-755-8786
Practice Fax:

1144086448 — MALEENAH ITZEL VERA
Practice Location Address:

6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA
91606-1576

Practice Phone: 818-755-8786
Practice Fax:

Directions to “UROLOGY PROFESSIONALS OF SOUTH FLORIDA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.