Urology Healthcare of Central Florida,P.a

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME0080612 Issued in FL

Legal business name

UROLOGY HEALTHCARE OF CENTRAL FLORIDA,P.A

Practice address

2217 North Boulevard West
Davenport, FL 33837

Phone

(863) 421-3456

Fax

(863) 421-3466

NPI assigned

Aug 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Faiyaaz Mustansir Jhaveri, MD

Title

Ceo

Phone

(863) 421-3456

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1124037007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 NORTH BOULEVARD WEST",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33837",
            "telephone_number": "863-421-3456",
            "fax_number": "863-421-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 NORTH BOULEVARD WEST",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33837",
            "telephone_number": "863-421-3456",
            "fax_number": "863-421-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY HEALTHCARE OF CENTRAL FLORIDA,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "JHAVERI",
        "authorized_official_first_name": "FAIYAAZ",
        "authorized_official_middle_name": "MUSTANSIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-421-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0080612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1900258",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K1998",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Udy
• Uptown Roots ABA LLC
• Maria Andrea Urbano, MS
• Urgimed, LLC
• William Uribe Arango, MD
• Sean Tyrone Ustic, PHARMD
• Mayra Valle, R.PH
• Amanda Van Duyn
• Vidyasagar Reddy Vangala, M.D.
• Erika Vargas

• Urology Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.