Organization
SUNCOAST UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNIE B TANNENBAUM MD (PRESIDENT)
(727) 862-8548
Entity
Organization
Contact information
Practice address
7614 JACQUE RD, SUITE A, HUDSON, FL 34667-7195
(727) 862-8548
(727) 863-4530
Mailing address
7614 JACQUE RD, SUITE A, HUDSON, FL 34667-7195
(727) 862-8548
(727) 863-4530
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB2163
RR MEDICARE PROVIDER ID
FL
Enumeration date
06/18/2006
Last updated
08/22/2020
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