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CHILDRENS UROLOGY GROUP PL NPI 1194836239


NPI Information

NPI: 1194836239
Provider Name: CHILDRENS UROLOGY GROUP PL
Classification: Urology - 2088P0231X
Entity Type: Organization

Specialization: Pediatric Urology

Address:
4712 N ARMENIA AVE
SUITE 200
TAMPA, FL
ZIP 33603
Phone: (813) 874-7500
Get Directions

CHILDRENS UROLOGY GROUP PL is a pediatric urology urology in Tampa, FL. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). CHILDRENS UROLOGY GROUP PL NPI is 1194836239. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4712 N ARMENIA AVE
SUITE 200
TAMPA, FL
ZIP 33603-611
Phone: (813) 874-7500
Fax: (813) 877-1397

The provider's authorized official is Theresa Kollner .
The authorized official title is Credentialing Coordinator and has the following contact phone number (813) 874-7500.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12088P0231XUrologyPediatric UrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AM517ZMEDICARE PINFLORIDA
211750ZMEDICARE PINFLORIDA
330513YMEDICARE PINFLORIDA
435990ZMEDICARE PINFLORIDA
527378ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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