Active NPI
Urology Associates of South Florida PLC
- Urology Physician
- Boca Raton, FL
National Provider Identifier
1235230194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME 0068004
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Boca Raton, FL
- NPI 1548390529
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.