Provider Demographics
NPI:1598718504
Name:NOONE UROLOGY
Entity Type:Organization
Organization Name:NOONE UROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-733-0081
Mailing Address - Street 1:2202 S BABCOCK ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-5370
Mailing Address - Country:US
Mailing Address - Phone:321-733-0081
Mailing Address - Fax:321-733-0206
Practice Address - Street 1:2202 S BABCOCK ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-5370
Practice Address - Country:US
Practice Address - Phone:321-733-0081
Practice Address - Fax:321-733-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87080208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL29194OtherBLUE CROSS
FL29194OtherBLUE CROSS