| NPI | 1619214798 |
|---|---|
| Doing Business As | SPARKS UROLOGY GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |