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TAMPA UROLOGY PA NPI 1205872710


NPI Information

NPI: 1205872710
Provider Name: TAMPA UROLOGY PA

Former Legal Business Name: MALCOLM ROOT MD PA

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1209 W SWANN AVE
TAMPA, FL
ZIP 33606
Phone: (813) 253-3007
Get Directions

TAMPA UROLOGY PA is an urology in Tampa, 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. TAMPA UROLOGY PA NPI is 1205872710. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Malcolm Root Md Pa.

The provider's business location address is:

1209 W SWANN AVE
TAMPA, FL
ZIP 33606-639
Phone: (813) 253-3007
Fax: (813) 253-2098

The provider's authorized official is Malcolm Root .
The authorized official title is Owner President and has the following contact phone number (813) 253-3007.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 3/4/2008.


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
1208800000XUrology05 8026FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10482450001MEDICARE NSCFLORIDA
2E19123MEDICARE UPIN

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

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