| NPI | 1104392232 | 
|---|---|
| Doing Business As | UROLOGIC INTEGRATED CARE | 
| Entity Type | Organization | 
| Authorized Contact | VICTORIA Y BIRD Medical Director 352-278-5132 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208800000X Urology | 
| Enumeration Date | 2018-10-16 | 
| Last Update Date | 2018-11-15 |