Provider Demographics
NPI:1528077302
Name:UROLOGY ASSOCIATES OF PINELLAS COUNTY PA
Entity type:Organization
Organization Name:UROLOGY ASSOCIATES OF PINELLAS COUNTY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMULLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-441-1508
Mailing Address - Street 1:430 MORTON PLANT STREET
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-4070
Mailing Address - Country:US
Mailing Address - Phone:727-441-1508
Mailing Address - Fax:727-443-7780
Practice Address - Street 1:430 MORTON PLANT STREET
Practice Address - Street 2:SUITE 206
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-4070
Practice Address - Country:US
Practice Address - Phone:727-441-1508
Practice Address - Fax:727-443-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00326Medicare PIN
FL00326Medicare ID - Type UnspecifiedGROUP ID #