# UROLOGY MEDICAL SPECIALISTS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184482291
- **Authorized official:** SANJEEV K GUPTA (MD/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (954) 943-1133

## Contact information

- **Practice address:** 333 NW 70TH AVE STE 206, PLANTATION, FL 33317-2300
- **Practice address phone:** (954) 943-1133
- **Practice address fax:** (954) 783-6845
- **Mailing address:** 5258 LINTON BLVD STE 203, DELRAY BEACH, FL 33484-6529
- **Mailing address phone:** (561) 495-7570
- **Mailing address fax:** (561) 496-7074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2024
- **Last updated:** 03/29/2024
