Organization
DADE BROWARD UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B WEITZENFELD MD (OWNER)
(305) 933-1772
Entity
Organization
Contact information
Practice address
21110 BISCAYNE BOULEVARD, SUITE 401, AVENTURA, FL 33180
(305) 933-1772
(305) 933-0364
Mailing address
PO BOX 172525, HIALEAH, FL 33017
(305) 933-1772
(305) 933-0364
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0027164
FL
Other
Enumeration date
12/20/2005
Last updated
08/22/2020
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