Provider Demographics
NPI:1669539409
Name:URLANDA, JOJI U (MD)
Entity type:Individual
Prefix:
First Name:JOJI
Middle Name:U
Last Name:URLANDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 111089
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-0119
Mailing Address - Country:US
Mailing Address - Phone:239-649-4565
Mailing Address - Fax:239-649-4284
Practice Address - Street 1:661 GOODLETTE RD N STE 104
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5609
Practice Address - Country:US
Practice Address - Phone:239-649-4565
Practice Address - Fax:239-649-4284
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79489207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5395Medicare PIN
G19070Medicare UPIN