Provider Demographics
NPI:1316976046
Name:UROLOGY HEALTH SOLUTIONS INC
Entity type:Organization
Organization Name:UROLOGY HEALTH SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:RAOUL
Authorized Official - Last Name:LOTENFOE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-566-1105
Mailing Address - Street 1:410 CELEBRATION PL
Mailing Address - Street 2:STE 203
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5433
Mailing Address - Country:US
Mailing Address - Phone:407-566-1105
Mailing Address - Fax:407-566-1106
Practice Address - Street 1:410 CELEBRATION PL
Practice Address - Street 2:STE 203
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5433
Practice Address - Country:US
Practice Address - Phone:407-566-1105
Practice Address - Fax:407-566-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F91020Medicare UPIN
Q0138Medicare PIN