Provider Demographics
NPI:1760432991
Name:VARADY WEINSTEIN & KAUFMAN UROLOGY PA
Entity Type:Organization
Organization Name:VARADY WEINSTEIN & KAUFMAN UROLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:VARADY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-964-1607
Mailing Address - Street 1:PO BOX 31417
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33631-3417
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4889 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4713
Practice Address - Country:US
Practice Address - Phone:561-964-1607
Practice Address - Fax:561-641-8758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1760432991OtherRAILROAD MEDICARE
FL0657340001Medicare NSC