Organization
SOUTH FLORIDA UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEITZENFELD (OWNER)
(305) 825-8669
Entity
Organization
Contact information
Practice address
21110 BISCAYNE BLVD, SUITE 401, AVENTURA, FL 33180-1227
(305) 825-8669
Mailing address
PO BOX 172525, HIALEAH, FL 33017-2525
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME27164
FL
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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