Adult Urology Clinic PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0014196 Issued in FL

Legal business name

ADULT UROLOGY CLINIC PA

Practice address

1002 Old Dixie Hwy.
Suite 104
Jupiter, FL 33458-5700

Phone

(561) 747-5885

Fax

(561) 743-5456

NPI assigned

Jul 4, 2006

Last updated

Mar 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Luann Wiita

Title

Secretary Treasurer

Phone

(561) 747-5885

Specialties & licenses 1

Addresses

Other names 1

• Adult and Pediatric Urology Clinic, P.A. Former legal business name

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1194755033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 OLD DIXIE HWY.",
            "address_2": "SUITE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-747-5885",
            "fax_number": "561-743-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 OLD DIXIE HWY.",
            "address_2": "SUITE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-747-5885",
            "fax_number": "561-743-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT UROLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "WIITA",
        "authorized_official_first_name": "LUANN",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "561-747-5885",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "0014196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult and Pediatric Urology Clinic, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.