Organization
UROLOGY SPECIALTY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA GOMEZ (CREDENTIALING)
(786) 621-3897
Entity
Organization
Contact information
Practice address
500 N HIATUS RD, SUITE 107, PEMBROKE PINES, FL 33026-5213
(786) 621-3897
(786) 975-2643
Mailing address
500 N HIATUS RD, SUITE 107, PEMBROKE PINES, FL 33026-5213
(786) 621-3897
(786) 975-2643
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
FL
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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