Provider Demographics
NPI:1639284565
Name:ASSOCIATES IN UROLOGY OF CENTRAL FLORIDA PA
Entity Type:Organization
Organization Name:ASSOCIATES IN UROLOGY OF CENTRAL FLORIDA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVINDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHAGIRDAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-330-1100
Mailing Address - Street 1:101 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3101
Mailing Address - Country:US
Mailing Address - Phone:407-330-1100
Mailing Address - Fax:407-321-8820
Practice Address - Street 1:101 N 8TH ST
Practice Address - Street 2:SUITE 1001
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3101
Practice Address - Country:US
Practice Address - Phone:407-330-1100
Practice Address - Fax:855-850-8023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME044265208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty