Provider Demographics
NPI:1821476896
Name:UROCARE-ALL LLC
Entity Type:Organization
Organization Name:UROCARE-ALL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PREMOLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-466-9111
Mailing Address - Street 1:21150 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1226
Mailing Address - Country:US
Mailing Address - Phone:305-466-9111
Mailing Address - Fax:305-466-9127
Practice Address - Street 1:21150 BISCAYNE BLVD
Practice Address - Street 2:SUITE 404
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1226
Practice Address - Country:US
Practice Address - Phone:305-466-9111
Practice Address - Fax:305-466-9127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty