SOUTH FLORIDA UROLOGY CENTER INC NPI 1588775068

NPI Information

NPI: 1588775068
Provider Name: SOUTH FLORIDA UROLOGY CENTER INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 10D1025301

Address:
601 N FLAMINGO RD STE 308
PEMBROKE PINES, FL
ZIP 33028
Phone: (954) 392-7770
Get Directions

SOUTH FLORIDA UROLOGY CENTER INC is an urology in Pembroke Pines, 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. SOUTH FLORIDA UROLOGY CENTER INC NPI is 1588775068. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 N FLAMINGO RD STE 308
PEMBROKE PINES, FL
ZIP 33028-010
Phone: (954) 392-7770
Fax: (954) 392-7577

The provider's authorized official is Maury A Jayson .
The authorized official title is Owner and has the following contact phone number (954) 392-7770.

The CLIA number assigned to this NPI record is 10D1025301 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/18/2021.

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		ME84787	FLORIDA	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	82012	OTHER	FLORIDA	BC/BS PROVIDER NUMBER
2	269261900	MEDICAID	FLORIDA
3	1001006	OTHER	NEW YORK	GHI PROVIDER NUMBER
4	292536	OTHER	FLORIDA	AVMED PROVIDER NUMBER
5	4637949	OTHER	FLORIDA	CIGNA PROVIDER NUMBER
6	47364	OTHER	FLORIDA	NHP PROVIDER NUMBER

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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