Organization
TRIANGLE UROLOGY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UNYIME OKPOSONG NSEYO MD (DIRECTOR)
(352) 872-6045
Entity
Organization
Contact information
Practice address
1226 SW MAIN BLVD, LAKE CITY, FL 32025-6684
(352) 514-1281
Mailing address
1226 SW MAIN BLVD, LAKE CITY, FL 32025-6684
(352) 514-1281
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME91775
FL
Other
Enumeration date
02/22/2017
Last updated
08/15/2017
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