Provider Demographics
NPI:1033908884
Name:UROLOGY SPECIALISTS OF FLORIDA LLC
Entity type:Organization
Organization Name:UROLOGY SPECIALISTS OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRADEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-373-1642
Mailing Address - Street 1:401 SE OSCEOLA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2503
Mailing Address - Country:US
Mailing Address - Phone:561-373-1642
Mailing Address - Fax:772-220-7390
Practice Address - Street 1:401 SE OSCEOLA ST STE 200
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2503
Practice Address - Country:US
Practice Address - Phone:561-373-1642
Practice Address - Fax:772-220-7390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty