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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