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Organization

UROLIFE CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH C DUMAS (MANAGER)
(386) 758-8937
Entity
Organization

Contact information

Practice address
256 SW PROFESSIONAL GLN, LAKE CITY, FL 32025-1104
(386) 758-8937
Mailing address
256 SW PROFESSIONAL GLN, LAKE CITY, FL 32025-1104
(386) 758-8937

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208600000X
Surgery Physician
208800000X
Urology Physician
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
11/11/2024
Last updated
04/10/2025
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