Organization
ATLANTIC UROLOGY CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADEN MARZOUK MD (US PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
3600 SEA MOUNTAIN HWY STE B, LITTLE RIVER, SC 29566-8161
(843) 399-9696
(843) 399-9596
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
(239) 931-7342
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4522
—
SC
Enumeration date
06/14/2006
Last updated
09/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us