| NPI | 1194755033 |
|---|---|
| Former Legal Business Name | ADULT AND PEDIATRIC UROLOGY CLINIC, P.A. |
| Entity Type | Organization |
| Authorized Contact | LUANN WIITA Secretary Treasurer 561-747-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL 0014196) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-03-25 |