Provider Demographics
NPI:1093815797
Name:UROLOGY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:UROLOGY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KALSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-422-2484
Mailing Address - Street 1:11 W COLUMBIA STREET
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806
Mailing Address - Country:US
Mailing Address - Phone:407-422-2484
Mailing Address - Fax:407-422-8906
Practice Address - Street 1:11 W COLUMBIA STREET
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806
Practice Address - Country:US
Practice Address - Phone:407-422-2484
Practice Address - Fax:407-422-8906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0049043208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL07031OtherBLUE CROSS/BLUE SHIELD
FL4047059OtherAETNA PPO
FL04858OtherWELLCARE
FL695388OtherAETNA HMO
FL4047059OtherAETNA PPO
FL07031OtherBLUE CROSS/BLUE SHIELD
FLD21140Medicare UPIN