Organization
UROLOGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA SCROGGINS (CONSULTANT)
(561) 630-6277
Entity
Organization
Contact information
Practice address
1625 SE 3RD AVE, SUITE 800, FT LAUDERDALE, FL 33316-2521
(954) 355-5135
Mailing address
1625 SE 3RD AVE, SUITE 800, FT LAUDERDALE, FL 33316-2521
(954) 355-5135
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
—
—
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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