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Organization

FLORIDA UROLOGY SPECIALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM J TINGLE M.D. (MANAGING PARTNER)
(941) 309-7000
Entity
Organization

Contact information

Practice address
1 S SCHOOL AVE, SUITE 200, SARASOTA, FL 34237-6014
(941) 309-7000
(941) 309-7009
Mailing address
1 S SCHOOL AVE, SUITE 200, SARASOTA, FL 34237-6014
(941) 309-7000
(941) 309-7009

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0059349
FL
2088P0231X
Pediatric Urology Physician
ME0045454
FL

Other

Enumeration date
11/11/2016
Last updated
11/11/2016
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