Organization
GULFSTREAM UROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM J BALL M.D. (PRESIDENT)
(772) 465-2020
Entity
Organization
Contact information
Practice address
579 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL 34986-1622
(772) 465-2020
(772) 465-2111
Mailing address
579 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL 34986-1622
(772) 465-2020
(772) 465-2111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME88543
FL
Other
Enumeration date
09/22/2005
Last updated
07/21/2022
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