Provider Demographics
NPI:1952336497
Name:UROCARE LLC
Entity Type:Organization
Organization Name:UROCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANATOLIY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELILOVSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-400-9974
Mailing Address - Street 1:7050 GRASSLAND CT
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-5208
Mailing Address - Country:US
Mailing Address - Phone:941-400-9974
Mailing Address - Fax:
Practice Address - Street 1:389 COMMERCIAL CT
Practice Address - Street 2:SUITE B
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-1617
Practice Address - Country:US
Practice Address - Phone:941-400-9974
Practice Address - Fax:941-921-0957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLANT9246237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ0212Medicare PIN