Provider Demographics
NPI:1407109317
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:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:FIGLESTHALER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-434-6300
Mailing Address - Street 1:955 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5452
Mailing Address - Country:US
Mailing Address - Phone:239-434-6300
Mailing Address - Fax:239-325-2285
Practice Address - Street 1:8350 SIERRA MEADOWS BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-7328
Practice Address - Country:US
Practice Address - Phone:239-434-6300
Practice Address - Fax:238-325-2285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty