Provider Demographics
NPI:1376827311
Name:SPECIALISTS IN UROLOGY, P.A.
Entity Type:Organization
Organization Name:SPECIALISTS IN UROLOGY, P.A.
Other - Org Name:PREMIERE ONCOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:FIGLESTHALER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-434-6300
Mailing Address - Street 1:24 DEL PRADO BLVD. NORTH
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990
Mailing Address - Country:US
Mailing Address - Phone:239-434-6300
Mailing Address - Fax:239-325-2285
Practice Address - Street 1:24 DEL PRADO BOULEVARD NORTH
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990
Practice Address - Country:US
Practice Address - Phone:239-434-6300
Practice Address - Fax:239-325-2285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty