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CHARLES T POLIS JR MD PA NPI 1316912132


NPI Information

NPI: 1316912132
Provider Name: CHARLES T POLIS JR MD PA

Doing Business As: UROLOGY ASSOCIATES

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1410 59TH STREET W
BRADENTON, FL
ZIP 34209
Phone: (941) 792-1477
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CHARLES T POLIS JR MD PA is an urology in Bradenton, 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. CHARLES T POLIS JR MD PA NPI is 1316912132. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Urology Associates.

The provider's business location address is:

1410 59TH STREET W
BRADENTON, FL
ZIP 34209
Phone: (941) 792-1477
Fax: (941) 794-8017

The provider's authorized official is Charles T Polis .
The authorized official title is President and has the following contact phone number (941) 792-1477.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 2/25/2008.


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
1208800000XUrologyYes

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
1340003525OTHERFLORIDARAILROAD MEDICARE
20837840001MEDICARE NSCFLORIDA
399145MEDICARE PINFLORIDA

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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