MODERN UROLOGY LLC NPI 1437806197

NPI Information

NPI: 1437806197
Provider Name: MODERN UROLOGY LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
9920 SW 40TH ST
MIAMI, FL
ZIP 33165
Phone: (305) 215-7452
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MODERN UROLOGY LLC is an urology in Miami, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MODERN UROLOGY LLC NPI is 1437806197. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9920 SW 40TH ST
MIAMI, FL
ZIP 33165-944
Phone: (305) 215-7452

The provider's authorized official is Adam Michael De Fazio .
The authorized official title is Physician and has the following contact phone number (954) 770-1666.

The enumeration date for this NPI number is 3/3/2022 and was last updated on 3/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1093127631	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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