Provider Demographics
NPI:1518070069
Name:MAYTIN & URIA MD PA
Entity Type:Organization
Organization Name:MAYTIN & URIA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-746-6900
Mailing Address - Street 1:4300 N UNIVERSITY DR
Mailing Address - Street 2:SUITE B107
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6249
Mailing Address - Country:US
Mailing Address - Phone:954-746-6900
Mailing Address - Fax:954-746-8710
Practice Address - Street 1:4300 N UNIVERSITY DR
Practice Address - Street 2:SUITE B107
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6249
Practice Address - Country:US
Practice Address - Phone:954-746-6900
Practice Address - Fax:954-746-8710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty