Organization Active NPI

Urology Center of Florida PA

  • Urology Physician
  • Pompano Beach, FL
National Provider Identifier
1659423325
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY CENTER OF FLORIDA PA
Practice address
550 SW 3Rd Street
Suite 305
Pompano Beach, FL 33060
Phone
(954) 941-3333
Fax
(954) 941-2054
NPI assigned
Jan 16, 2007
Last updated
Apr 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Joseph Ptalis
Title
Office Manager
Phone
(954) 941-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

550 SW 3Rd Street
Suite 305
Pompano Beach, FL 33060

Mailing address

550 SW 3Rd Street
Suite 305
Pompano Beach, FL 33060
Phone (954) 941-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000752 FL Part B Supplier - Clinic/Group Practice 8628028701 Receives reassigned benefits from 3 practitioners
Practice locations: Pompano Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0278612Urology Center of Florida PA550 SW 3Rd St Ste 305, Pompano Beach, FL 33060ComplianceDec 6, 2026

National Provider Directory

National Provider Directory

Locations

550 SW 3rd St
Ste 350
Pompano Beach, FL 33060
Phone (954) 941-3333

550 SW 3rd St
Ste 305
Pompano Beach, FL 33060
Phone (954) 941-3330

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1659423325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SW 3RD STREET",
            "address_2": "SUITE 305",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33060",
            "telephone_number": "954-941-3333",
            "fax_number": "954-941-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SW 3RD STREET",
            "address_2": "SUITE 305",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33060",
            "telephone_number": "954-941-3333",
            "fax_number": "954-941-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CENTER OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "PTALIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-941-3333"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.