Organization
UROLOGIC INTEGRATED CARE LLC
Active
Other names
Urologic Integrated Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA Y BIRD MD (MEDICAL DIRECTOR)
(352) 278-5132
Entity
Organization
Contact information
Practice address
1201 NW 64TH TER, GAINESVILLE, FL 32605-4220
(352) 204-5400
(352) 204-5405
Mailing address
5745 SW 75TH ST # 507, GAINESVILLE, FL 32608-5504
(352) 204-5400
(352) 204-5405
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
11/15/2018
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