| NPI | 1124077441 |
|---|---|
| Doing Business As | TREASURE COAST UROLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL SHEA Administrator 772-562-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME46397) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME83321) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME51265) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-08-22 |