| NPI | 1376593061 |
|---|---|
| Doing Business As | PEDIATRIC UROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A. MOLITIESM COO 407-540-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 9600282) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 1000392) |
| 363AM0700X Physician Assistant, Medical (Licence: NC 103556) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-08-05 |