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Organization
UROLOGY PROFESSIONALS LLLP
Active
Organization
UROLOGY PROFESSIONALS LLLP
Active
Other names
UROLOGY PROFESSIONALS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN OTHEGUY MD (AUTHORIZED OFFICIAL)
(727) 375-5520
Entity
Organization
Contact information
Practice address
2075 LITTLE RD, TRINITY, FL 34655-4421
(727) 375-5520
(727) 375-1463
Mailing address
2075 LITTLE RD, TRINITY, FL 34655-4421
(727) 375-5520
(727) 375-1463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
05/10/2016
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