Provider Demographics
NPI:1508133711
Name:UROLOGY GROUP OF FLORIDA LLC
Entity Type:Organization
Organization Name:UROLOGY GROUP OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:YORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-496-4444
Mailing Address - Street 1:5350 W. ATLANTIC AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8112
Mailing Address - Country:US
Mailing Address - Phone:561-496-4444
Mailing Address - Fax:561-496-2001
Practice Address - Street 1:5350 W. ATLANTIC AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8112
Practice Address - Country:US
Practice Address - Phone:561-496-4444
Practice Address - Fax:561-496-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty