MODERN UROLOGY GROUP LLC

MIAMI, FL
NPI1437806197
Doing Business AsMODERN UROLOGY
Entity TypeOrganization
Authorized ContactADAM MICHAEL DE FAZIO
Physician
954-770-1666
Organization Subpart ?No
Primary Taxonomy208800000X Urology
Enumeration Date2022-03-03
Last Update Date2022-07-24
Business Address
MODERN UROLOGY GROUP LLC
3400 CORAL WAY STE 500
MIAMI, FL 33145-3053
Phone number: 305-603-8684
Mailing Address
MODERN UROLOGY GROUP LLC
13025 SW 62ND AVE
PINECREST, FL 33156-7115
Phone number: 305-215-3213