Organization Active NPI

Urology Associates of South Florida PLC

  • Urology Physician
  • Boca Raton, FL
National Provider Identifier
1235230194
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME 0068004 Issued in FL
Legal business name
UROLOGY ASSOCIATES OF SOUTH FLORIDA PLC
Practice address
7280 W Palmetto Park Rd
Suite 305
Boca Raton, FL 33433-3422
Phone
(561) 955-6025
Fax
(561) 955-6069
NPI assigned
Sep 25, 2006
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Mark Robert Licht, M.D.
Title
President
Phone
(561) 955-6025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME 0068004 FL Primary

Addresses

Primary practice location

7280 W Palmetto Park Rd
Suite 305
Boca Raton, FL 33433-3422

Mailing address

7280 W Palmetto Park Rd
Suite 305
Boca Raton, FL 33433-3422
Phone (561) 955-6025

National Provider Directory

National Provider Directory

Locations

7280 W Palmetto Park Rd
Ste 305
Boca Raton, FL 33433
Phone (561) 393-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1235230194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 W PALMETTO PARK RD",
            "address_2": "SUITE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333422",
            "telephone_number": "561-955-6025",
            "fax_number": "561-955-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 W PALMETTO PARK RD",
            "address_2": "SUITE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333422",
            "telephone_number": "561-955-6025",
            "fax_number": "561-955-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF SOUTH FLORIDA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "LICHT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-955-6025",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME 0068004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.