Organization
UROLOGY ASSOC. OF N.E. FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC H. BLASSER M.D. (PRESIDENT)
(904) 264-8418
Entity
Organization
Contact information
Practice address
1715 VILLAGE WAY, ORANGE PARK, FL 32073-5263
(904) 264-8418
Mailing address
1715 VILLAGE WAY, ORANGE PARK, FL 32073-5263
(904) 264-8418
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0023670
FL
Other
Enumeration date
12/13/2005
Last updated
04/02/2009
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