Organization
LAKELAND UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO C MORENO M.D. (OWNER)
(863) 644-0471
Entity
Organization
Contact information
Practice address
4435 FLORIDA NATIONAL DR, LAKELAND, FL 33813-1516
(863) 644-0471
(863) 644-9400
Mailing address
PO BOX 250, HIGHLAND CITY, FL 33846-0250
(863) 644-0471
(863) 644-9400
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0029790
FL
Other
Enumeration date
10/19/2007
Last updated
12/12/2007
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