Organization
PALM BEACH UROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NADYA PRIETO (OFFICE ADMINISTRATOR)
(561) 790-2111
Entity
Organization
Contact information
Practice address
12953 PALMS WEST DR, SUITE 201, LOXAHATCHEE, FL 33470-4990
(561) 790-2111
(561) 790-0893
Mailing address
12953 PALMS WEST DR, SUITE 201, LOXAHATCHEE, FL 33470-4990
(561) 790-2111
(561) 790-0893
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2 052637100
—
FL
Enumeration date
01/09/2006
Last updated
07/13/2009
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