Organization
OM UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARMI JOSHI (OFFICE MANAGER)
(321) 241-6574
Entity
Organization
Contact information
Practice address
3160 W EAU GALLIE BLVD STE 101, MELBOURNE, FL 32934-7204
(312) 241-6574
(321) 241-6577
Mailing address
PO BOX 361785, MELBOURNE, FL 32936-1785
(321) 241-6574
(321) 241-6574
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME92198
FL
Other
Enumeration date
05/03/2007
Last updated
05/01/2019
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