Organization
SOUTH FLORIDA PEDIATRIC UROLOGY LLP
Active
Organization
SOUTH FLORIDA PEDIATRIC UROLOGY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DESIREE N MOURE (PRACTICE ADMINISTRATOR)
(305) 669-6448
Entity
Organization
Contact information
Practice address
3200 SW 60TH CT STE 104, MIAMI, FL 33155-4069
(305) 669-6448
Mailing address
3200 SW 60TH CT STE 104, MIAMI, FL 33155-4069
(305) 669-6448
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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