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FLORIDA PHYSICIAN SPECIALISTS LLC NPI 1619221637


NPI Information

NPI: 1619221637
Provider Name: FLORIDA PHYSICIAN SPECIALISTS LLC

Doing Business As: MCIVER UROLOGICAL CLINIC

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 10D2080975

Address:
710 LOMAX ST
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 355-6584
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FLORIDA PHYSICIAN SPECIALISTS LLC is an urology in Jacksonville, 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. FLORIDA PHYSICIAN SPECIALISTS LLC NPI is 1619221637. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mciver Urological Clinic.

The provider's business location address is:

710 LOMAX ST
JACKSONVILLE, FL
ZIP 32204-004
Phone: (904) 355-6584
Fax: (904) 355-4922

The provider's authorized official is Mitchell D Terk .
The authorized official title is Director and has the following contact phone number (904) 309-8680.

The CLIA number assigned to this NPI record is 10D2080975 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 10/29/2012.


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: 4/28/2024

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