Organization
ADULT UROLOGY CLINIC PA
Active
Other names
Adult and Pediatric Urology Clinic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUANN WIITA (SECRETARY TREASURER)
(561) 747-5885
Entity
Organization
Contact information
Practice address
1002 OLD DIXIE HWY., SUITE 104, JUPITER, FL 33458-5700
(561) 747-5885
(561) 743-5456
Mailing address
1002 OLD DIXIE HWY., SUITE 104, JUPITER, FL 33458-5700
(561) 747-5885
(561) 743-5456
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0014196
FL
Other
Enumeration date
07/04/2006
Last updated
03/25/2008
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