Organization
UROLOGY HEALTHCARE OF CENTRAL FLORIDA,P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAIYAAZ MUSTANSIR JHAVERI MD (CEO)
(863) 421-3456
Entity
Organization
Contact information
Practice address
2217 NORTH BOULEVARD WEST, DAVENPORT, FL 33837
(863) 421-3456
(863) 421-3466
Mailing address
2217 NORTH BOULEVARD WEST, DAVENPORT, FL 33837
(863) 421-3456
(863) 421-3466
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0080612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900258
UNITED HEALTHCARE
FL
01
—
K1998
MEDICARE GROUP NUMBER
FL
Enumeration date
08/07/2006
Last updated
02/18/2021
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