# ROBERT C URBAN, JR. M.D. LLC

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

## Provider details

- **NPI number:** 1740298926
- **Authorized official:** DR. ROBERT CHARLES URBAN JR. MD (OWNER/DOCTOR)
- **Authorized official phone:** (727) 807-7090

## Contact information

- **Practice address:** 5425 WATER ST, NEW PORT RICHEY, FL 34652-4030
- **Practice address phone:** (727) 807-7090
- **Practice address fax:** (727) 807-7076
- **Mailing address:** 5425 WATER ST, NEW PORT RICHEY, FL 34652-4030
- **Mailing address phone:** (727) 807-7090
- **Mailing address fax:** (727) 807-7076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME63362 | FL | Yes |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 18181 | BLUE CROSS BLUE SHIELD FL | FL |
| 05 | — | 371540000 | — | FL |