Provider Type Icon

UROLOGIC INTEGRATED CARE LLC NPI 1104392232


NPI Information

NPI: 1104392232
Provider Name: UROLOGIC INTEGRATED CARE LLC

Doing Business As: UROLOGIC INTEGRATED CARE

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 10D2160125

Address:
1201 NW 64TH TER
GAINESVILLE, FL
ZIP 32605
Phone: (352) 204-5400
Get Directions

UROLOGIC INTEGRATED CARE LLC is an urology in Gainesville, 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. UROLOGIC INTEGRATED CARE LLC NPI is 1104392232. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Urologic Integrated Care.

The provider's business location address is:

1201 NW 64TH TER
GAINESVILLE, FL
ZIP 32605-220
Phone: (352) 204-5400
Fax: (352) 204-5405

The provider's authorized official is Victoria Y Bird .
The authorized official title is Medical Director and has the following contact phone number (352) 278-5132.

The CLIA number assigned to this NPI record is 10D2160125 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2018 and was last updated on 11/15/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.