Organization Active NPI

Florida Urology PA

  • Urology Physician
  • Kissimmee, FL
National Provider Identifier
1619974854
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
FLORIDA UROLOGY PA
Practice address
2400 N Orange Blossom TRL
Suite 210
Kissimmee, FL 34744-2306
Phone
(407) 933-2500
Fax
(407) 933-2925
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sharon G Cologero
Title
Office Manager
Phone
(407) 933-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X FL Primary

Addresses

Primary practice location

2400 N Orange Blossom TRL
Suite 210
Kissimmee, FL 34744-2306

Mailing address

2400 N Orange Blossom TRL
Suite 210
Kissimmee, FL 34744-2306
Phone (407) 933-2500

Other identifiers 1

IdentifierTypeStateIssuer
064466800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040716000760 FL Part B Supplier - Clinic/Group Practice 7911986591 Receives reassigned benefits from 4 practitioners
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

400 Celebration Pl
Ste 240
Celebration, FL 34747
Phone (407) 933-2500

2400 N Orange Blossom Trl
Ste 210
Kissimmee, FL 34744
Phone (407) 933-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEBFAA

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619974854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL",
            "address_2": "SUITE 210",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442306",
            "telephone_number": "407-933-2500",
            "fax_number": "407-933-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL",
            "address_2": "SUITE 210",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442306",
            "telephone_number": "407-933-2500",
            "fax_number": "407-933-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COLOGERO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-933-2500"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064466800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.