NPI 1194836239

Childrens Urology Group Pl

Organisation Pediatric Urology Physician Tampa, FL

Practice location

Address: 4712 N Armenia Ave Suite 200, Tampa, FL 33603-2611
Phone: (813) 874-7500
Fax: (813) 877-1397

Authorised official

Name: Theresa Kollner
Title: Credentialing Coordinator
Phone: (813) 874-7500

Registered specialties

Pediatric Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X

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Registry record

NPI: 1194836239
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 8 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.