Organization
SOUTH FLORIDA UROLOGY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURY A JAYSON MD (OWNER)
(954) 392-7770
Entity
Organization
Contact information
Practice address
601 N FLAMINGO RD STE 308, PEMBROKE PINES, FL 33028-1010
(954) 392-7770
(954) 392-7577
Mailing address
601 N FLAMINGO RD STE 308, PEMBROKE PINES, FL 33028-1010
(954) 392-7770
(954) 392-7577
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME84787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001006
GHI PROVIDER NUMBER
NY
05
—
269261900
—
FL
01
—
292536
AVMED PROVIDER NUMBER
FL
01
—
4637949
CIGNA PROVIDER NUMBER
FL
01
—
47364
NHP PROVIDER NUMBER
FL
01
—
82012
BC/BS PROVIDER NUMBER
FL
Enumeration date
08/31/2006
Last updated
03/18/2021
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