SOUTH FLORIDA UROLOGY CENTER INC (NPI# 1588775068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588775068 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA UROLOGY CENTER INC |
| Practice Address |
601 N Flamingo Rd Suite 203 Pembroke Pines FL 33028-1015 |
| Mailing Address |
601 N Flamingo Rd Ste 308 Pembroke Pines FL 33028-1010 |
| Practice Telephone | 9543927770 |
| Practice Fax Number | 9543927577 |
| Mailing Telephone | 9543927770 |
| Mailing Fax Number | 9543927577 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | DR. MAURY A JAYSON (PRESIDENT) |
| Authorized Official Telephone | 9543927770 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME84787 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NHP PROVIDER NUMBER | 47364 | 01 |
| FL | CIGNA PROVIDER NUMBER | 4637949 | 01 |
| FL | AVMED PROVIDER NUMBER | 292536 | 01 |
| FL | BC/BS PROVIDER NUMBER | 82012 | 01 |
| FL | 269261900 | 05 | |
| NY | GHI PROVIDER NUMBER | 1001006 | 01 |
| Street Address |
601 N FLAMINGO RD SUITE 203 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034341 | Daniel A Sheldon | Orthopaedic Surgery | 601 N Flamingo Rd, Ste 213, Pembroke Pines, FL 33028-1015 | 2005-06-23 |
| 1073145504 | Keanne Owens | Social Worker | 601 N Flamingo Rd, Pembroke Pines, FL 33028-1015 | 2020-02-12 |
| 1801382171 | Podiatry Asssociates Inc | Podiatrist | 601 N Flamingo Rd, Ste 104, Pembroke Pines, FL 33028-1007 | 2018-07-10 |
| 1417312224 | Samuel M Freedman,md | Pediatrics | 601 N Flamingo Rd, Suite 207, Pembroke Pines, FL 33028-1015 | 2015-12-21 |
| 1437522133 | Manuel Alberto Nucete Viani | Specialist | 601 N Flamingo Rd, Ste 308, Pembroke Pines, FL 33028-1015 | 2015-11-04 |
| 1285001156 | Southeast Perinatal Associates, Inc. | Obstetrics & Gynecology | 601 N Flamingo Rd, Suite 211, Pembroke Pines, FL 33028-1015 | 2015-08-27 |
| 1538547096 | Sahar S Amini | Internal Medicine | 601 N Flamingo Rd, Suite 407, Pembroke Pines, FL 33028-1015 | 2015-05-15 |
| 1124415963 | Comprehensive Cardiology Consultants LLC | Internal Medicine | 601 N Flamingo Rd, Suite 107, Pembroke Pines, FL 33028-1015 | 2015-04-20 |
| 1881013746 | Renal Group of South Florida, Inc. | Internal Medicine | 601 N Flamingo Rd, Suite 104, Pembroke Pines, FL 33028-1015 | 2014-04-08 |
| 1528481850 | Children Medical Care Inc | Clinic/Center | 601 N Flamingo Rd, Suite 307, Pembroke Pines, FL 33028-1015 | 2014-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497122519 | Southeast Florida Urology LLC | Urology | 500 N Hiatus Rd, Suite 107, Pembroke Pines, FL 33026-5213 | 2015-08-24 |
| 1417220054 | Genesiscare Usa of Florida LLC | Urology | 2261 N University Dr, Suite 202, Pembroke Pines, FL 33024-3623 | 2012-02-13 |
| 1699044289 | Genesiscare Usa of Florida LLC | Urology | 601 N Flamingo Rd, Suite 402, Pembroke Pines, FL 33028-1015 | 2011-12-28 |
| 1548538598 | 21st Century Oncology LLC | Urology | 500 N Hiatus Rd, Suite 107, Pembroke Pines, FL 33026-5213 | 2011-12-06 |
| 1841580917 | Genesiscare Usa of Florida LLC | Urology | 700 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5206 | 2011-04-11 |
| 1235395468 | Urology Specialty Group LLC | Urology | 500 N Hiatus Rd, Suite 107, Pembroke Pines, FL 33026-5213 | 2008-08-07 |
| 1023213782 | Norman A Bloom Md Pa | Urology | 1 Sw 129th Ave, Suite 109, Pembroke Pines, FL 33027-1761 | 2007-06-20 |
| 1225149891 | Maury A Jayson | Urology | 601 N Flamingo Rd, Suite 203, Pembroke Pines, FL 33028-1015 | 2006-08-31 |
| 1174584809 | Antonio Reyes | Urology | 600 N Hiatus Rd, Suite 209, Pembroke Pines, FL 33026-5207 | 2006-03-31 |
| 1447210810 | Robert H Sherman | Urology | 500 N Hiatus Rd, Ste 107, Pembroke Pines, FL 33026-5213 | 2006-03-28 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.