FLORIDA UROLOGY PARTNERS LLP NPI 1891154498

NPI Information

FLORIDA UROLOGY PARTNERS, LLP is a non pharmacy dispensing site in Tampa, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) FLORIDA UROLOGY PARTNERS, LLP NPI is 1891154498. The provider is registered as an organization entity type.

The provider's business location address is:

1 DAVIS BLVD STE 604
TAMPA, FL
ZIP 33606-480
Phone: (813) 258-9565
Fax: (813) 258-3535

The provider's authorized official is Raviender Bukkapatnam .
The authorized official title is Physician and has the following contact phone number (813) 258-9565.

The CLIA number assigned to this NPI record is 10D2105811 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2016 and was last updated on 2/11/2016.

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:

Other Identifiers

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

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