| NPI | 1417220054 |
|---|---|
| Doing Business As | VANGUARD UROLOGY |
| Entity Type | Organization |
| Authorized Contact | SHADEN MARZOUK President 239-931-7254 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2023-10-05 |