Organization
UROLOGIC CLINICS OF NORTH ALABAMA PC
Active
Parent organization
UROLOGIC CLINICS OF NORTH ALABAMA PC
Other names
Urologic Clinics of North Florida
Organization subpart
Yes
Provider details
NPI number
Legal business name
UROLOGIC CLINICS OF NORTH ALABAMA PC
Authorized official
AMIT CHAKRABARTY MD (CEO)
(256) 797-8262
Entity
Organization
Contact information
Practice address
3201 SW 34TH ST STE F, OCALA, FL 34474-7439
(352) 398-4276
(352) 291-0087
Mailing address
121 COVESHIRE PL, MADISON, AL 35758-3150
(352) 398-4276
(352) 291-0087
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000092909
—
AL
05
—
122960300
—
FL
05
—
200018019
—
MO
01
—
DG5071
MEDICARE RAILROAD CARRIER
AL
Enumeration date
11/30/2006
Last updated
11/14/2024
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