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NPI Code Detail

MEDICARE: UROLOGIC SPECIALISTS OF CENTRAL FLORIDA PLLC

MEDICARE: UROLOGIC SPECIALISTS OF CENTRAL FLORIDA 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
1208800000XUrology Physician

General Provider Information

NPI Number : 1710442264
Entity Type Code : Organization
Provider Name (Legal Business Name) : UROLOGIC SPECIALISTS OF CENTRAL FLORIDA PLLC
Provider Business Mailing Address
First Line : 2428 CLEARLAKE RD BLDG K
Second Line :
City : COCOA
State : FL
Zip : 32922-5722
Country : US
Telephone Number : 321-368-3862
Fax Number : 321-208-8717
Provider Business Practice Location Address
First Line : 2428 CLEARLAKE RD BLDG K
Second Line :
City : COCOA
State : FL
Zip : 32922-5722
Country : US
Telephone Number : 321-368-3862
Fax Number : 321-208-8717
Authorized Official
Title or Position : PHYSICIAN
Name : ANTHONY SARACINO
Credential : MD
Telephone Number : 321-727-8940
Provider Enumeration Date : 02/08/2019
Last Update Date : 04/18/2024

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Directions to “UROLOGIC SPECIALISTS OF CENTRAL FLORIDA PLLC ” Practice Location

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