South County Urology Pa

NPI 1144270109 - Urology - 208800000X

NPI Details
NPI 1144270109
Enumeration Date 05/11/2006
Last Updated 08/16/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK D MARK
Position OWNER
Phone (561) 495-7570
Fax (561) 496-7074
Practice Location
5258 LINTON BLVD
SUITE 203
DELRAY BEACH FL, 33484-6540, US
Phone (561) 495-7570
Fax (561) 496-7074
Business Location
5258 LINTON BLVD
SUITE 203
DELRAY BEACH FL, 33484-6540, US
Phone (561) 495-7570
Fax (561) 496-7074
Toxanomy
Taxonomy Code 208800000X
License State Florida
License Number ME 46004
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According to our database, South County Urology Pa NPI is 1144270109, taxonomy code is 208800000X and license number is ME 46004, license state is located at Florida. South County Urology Pa physically located at 5258 Linton Blvd, Delray Beach FL, 33484-6540. NPI Number 1033115704 has the healthcare provider type.

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1144270109 NPI number is provided on an as is basis without warranty of any kind. 1144270109 is maintained by the National Plan & Provider Enumeration System. The contents of South County Urology Pa are for informational purposes only.