Provider Demographics
NPI:1851324156
Name:UROLOGY CENTRAL OF FLORIDA LLC
Entity Type:Organization
Organization Name:UROLOGY CENTRAL OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HILWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-298-6950
Mailing Address - Street 1:10000 W COLONIAL DR
Mailing Address - Street 2:SUITE 285
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3498
Mailing Address - Country:US
Mailing Address - Phone:407-298-6950
Mailing Address - Fax:407-578-2354
Practice Address - Street 1:10000 W COLONIAL DR
Practice Address - Street 2:SUITE 285
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3498
Practice Address - Country:US
Practice Address - Phone:407-298-6950
Practice Address - Fax:407-578-2354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL059930100Medicaid
FL48948WMedicare ID - Type UnspecifiedOCOEE OFFICE
FL49848XMedicare ID - Type UnspecifiedCLERMONT OFFICE
FL059930100Medicaid
FL460342566Medicare ID - Type UnspecifiedRAIL ROAD MEDICARE