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BREVARD UROLOGY ASSOCIATES PA NPI 1780697854


NPI Information

NPI: 1780697854
Provider Name: BREVARD UROLOGY ASSOCIATES PA

Former Legal Business Name: VITAS AND WOLFF PA

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1026 PATHFINDER WAY
ROCKLEDGE, FL
ZIP 32955
Phone: (321) 631-2070
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BREVARD UROLOGY ASSOCIATES PA is an urology in Rockledge, 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. BREVARD UROLOGY ASSOCIATES PA NPI is 1780697854. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Vitas And Wolff Pa.

The provider's business location address is:

1026 PATHFINDER WAY
ROCKLEDGE, FL
ZIP 32955
Phone: (321) 631-2070
Fax: (321) 631-6489

The provider's authorized official is Ovid E Vitas .
The authorized official title is President & Owner and has the following contact phone number (321) 631-2070.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 8/22/2020.


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
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: 5/5/2024

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