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 |