| NPI | 1164817573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JAMES WOLSZCZAK Owner 305-743-6526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery |
| 2088P0231X Urology Pediatric Urology | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |