MEDICARE: URONURSING 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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1962254698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URONURSING LLC

Provider Business Mailing Address
First Line	:	15227 SW 22ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5704
Country	:	US
Telephone Number	:	305-300-8715
Fax Number	:

Provider Business Practice Location Address
First Line	:	15227 SW 22ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5704
Country	:	US
Telephone Number	:	305-300-8715
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGEL PEREZ
Credential	:	ARNP
Telephone Number	:	305-300-8715

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	04/04/2024

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Directions to “URONURSING LLC ” Practice Location

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