Organization
PAUL URBAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVA D. WIDDIS (ASSOCIATE EXECUTIVE DIRECTOR)
(352) 867-8311
Entity
Organization
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 867-8311
(352) 867-1053
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-8311
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21179
BCBS FL
FL
Enumeration date
07/01/2006
Last updated
11/30/2007
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