Provider Demographics
NPI:1730054032
Name:BLADDER INSTITUTE OF FLORIDA LLC
Entity type:Organization
Organization Name:BLADDER INSTITUTE OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:JEFFERY
Authorized Official - Last Name:SAPP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:407-342-5842
Mailing Address - Street 1:16912 W PHIL C PETERS RD
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9328
Mailing Address - Country:US
Mailing Address - Phone:407-342-5842
Mailing Address - Fax:
Practice Address - Street 1:539 ROLLING ACRES RD
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-5047
Practice Address - Country:US
Practice Address - Phone:407-342-5842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty