Active NPI 1346530755 Individual Practitioner Male Practitioner

Amar Raval

Urology • Palm Harbor, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Amar Raval is a certified Urology practicing in Palm Harbor, FL. With approximately 15 years of clinical experience since completing medical education in 2011, Amar Raval delivers high-quality medical care to the local community at 35095 US HIGHWAY 19 N STE 202.

Amar Raval is affiliated with Advanced Urology Institute Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

35095 Us Highway 19 N Ste 202

Palm Harbor, FL 346841971

Telephone 7277710600

Associated Practice Facility / Clinic

🏢 West Florida Urology Plc Facility NPI 1023197191

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Palm Harbor, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -11.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Palm Harbor, FL (1082 Statewide)

Telehealth Adoption Rate

57.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raval (15 Years) 15 Yrs

Palm Harbor Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	811	434	$316.37	$131.62
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	571	371	$38.92	$16.99
81003 Automated urinalysis test	402	275	$5.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	281	205	$26.46	$11.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$415.51	$172.96
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	106	22	$155.66	$64.88
36415 Insertion of needle into vein for collection of blood sample	95	73	$10.55	$6.93
52000 Diagnostic exam of bladder and urethra using an endoscope	84	76	$592.43	$242.06
76775 Limited ultrasound scan behind abdominal cavity	83	75	$129.22	$60.28
51741 Electronic assessment of bladder emptying	71	59	$36.00	$9.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	54	$457.35	$180.35
74420 Imaging of urinary tract	38	30	$175.53	$25.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	31	$446.78	$187.29
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$214.60	$93.30
76872 Ultrasound scan of pelvic region through rectum	27	27	$333.67	$138.24
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	24	13	$118.63	$49.57
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	23	23	$161.48	$34.44
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	21	$484.71	$188.04
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	21	21	$969.81	$384.64
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	19	$1040.65	$434.31
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	20	19	$781.70	$325.61
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	20	19	$885.50	$53.08
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	17	$451.74	$139.08
50590 Shock wave crushing of kidney stones	14	13	$1437.14	$594.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	755	415	$321.09	$126.22
81003 Automated urinalysis test	373	257	$5.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	236	176	$25.68	$10.36
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	142	32	$159.00	$62.31
51741 Electronic assessment of bladder emptying	106	86	$36.00	$8.84
99213 Established patient office or other outpatient visit, typically 15 minutes	104	91	$227.28	$89.93
76775 Limited ultrasound scan behind abdominal cavity	92	79	$117.00	$58.55
52000 Diagnostic exam of bladder and urethra using an endoscope	88	76	$602.05	$236.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$422.33	$166.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	76	$499.64	$173.93
36415 Insertion of needle into vein for collection of blood sample	76	62	$6.00	$5.88
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	42	42	$976.31	$379.71
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	42	42	$162.93	$31.96
51797 Insertion of device into abdomen with pressure and urine flow rate study	42	42	$479.71	$184.71
74420 Imaging of urinary tract	35	25	$170.00	$24.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	12	$35.00	$13.93
51700 Simple bladder irrigation and/or instillation	29	25	$193.97	$74.11
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	22	21	$805.32	$309.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$454.00	$178.69
76872 Ultrasound scan of pelvic region through rectum	21	20	$325.86	$132.84
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	18	$1062.68	$430.49
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	18	17	$902.67	$70.90
76000 Imaging guidance for procedure, 60 minutes or less	14	14	$32.00	$16.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	13	$601.38	$150.80
50590 Shock wave crushing of kidney stones	11	11	$1460.00	$528.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	714	390	$324.13	$127.18
81003 Automated urinalysis test	366	267	$5.00	$2.21
51798 Ultrasound measurement of bladder capacity after voiding	227	161	$25.00	$10.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$423.00	$167.17
51741 Electronic assessment of bladder emptying	115	100	$36.00	$9.68
76775 Limited ultrasound scan behind abdominal cavity	103	82	$117.00	$58.17
99213 Established patient office or other outpatient visit, typically 15 minutes	91	81	$228.00	$90.04
52000 Diagnostic exam of bladder and urethra using an endoscope	80	71	$582.00	$242.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	20	$35.00	$14.15
J0696 Injection, ceftriaxone sodium, per 250 mg	56	13	$1.00	$0.49
36415 Insertion of needle into vein for collection of blood sample	55	48	$6.00	$2.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	51	$502.91	$198.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	44	23	$105.89	$62.90
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	42	42	$165.00	$32.36
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	42	42	$977.00	$389.40
51797 Insertion of device into abdomen with pressure and urine flow rate study	42	42	$459.00	$194.92
76872 Ultrasound scan of pelvic region through rectum	31	28	$271.00	$137.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$457.89	$180.81
74420 Imaging of urinary tract	26	21	$170.00	$24.75
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	25	24	$782.00	$322.60
51700 Simple bladder irrigation and/or instillation	25	23	$197.00	$77.01
76000 Imaging guidance for procedure, 60 minutes or less	20	18	$32.00	$15.90
0421T Waterjet destruction of prostrate accessed through the urethra	19	19	$2000.00	$1531.83
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	16	$439.41	$139.29
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1069.00	$422.02
51702 Simple insertion of temporary bladder tube	15	13	$158.00	$62.45
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	15	15	$908.00	$53.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	583	339	$320.31	$130.01
81003 Automated urinalysis test	330	235	$4.46	$2.25
51798 Ultrasound measurement of bladder capacity after voiding	217	160	$25.12	$10.07
99213 Established patient office or other outpatient visit, typically 15 minutes	184	158	$222.49	$91.57
51741 Electronic assessment of bladder emptying	103	90	$36.29	$9.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$422.51	$170.36
52000 Diagnostic exam of bladder and urethra using an endoscope	80	71	$577.88	$234.38
76775 Limited ultrasound scan behind abdominal cavity	71	65	$116.17	$58.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	56	$503.76	$202.71
36415 Insertion of needle into vein for collection of blood sample	47	37	$6.00	$3.00
51700 Simple bladder irrigation and/or instillation	39	24	$196.28	$79.46
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	34	34	$166.24	$32.63
51797 Insertion of device into abdomen with pressure and urine flow rate study	34	34	$448.76	$177.78
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	34	34	$969.41	$378.28
76872 Ultrasound scan of pelvic region through rectum	27	26	$272.48	$136.73
76000 Imaging guidance for procedure, 60 minutes or less	27	24	$32.15	$16.20
51702 Simple insertion of temporary bladder tube	24	14	$157.83	$63.64
74420 Imaging of urinary tract	15	15	$170.00	$25.24
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$549.57	$134.25
0421T Waterjet destruction of prostrate accessed through the urethra	13	13	$1076.92	$1027.25
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1074.45	$430.96
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	11	11	$913.64	$53.26
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$772.91	$315.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	541	325	$273.10	$108.54
99213 Established patient office or other outpatient visit, typically 15 minutes	302	238	$188.77	$74.54
81003 Automated urinalysis test	287	186	$5.08	$2.23
51798 Ultrasound measurement of bladder capacity after voiding	221	150	$26.98	$10.02
51741 Electronic assessment of bladder emptying	110	89	$38.07	$10.93
76775 Limited ultrasound scan behind abdominal cavity	101	86	$116.38	$57.93
52000 Diagnostic exam of bladder and urethra using an endoscope	95	76	$524.64	$209.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$415.56	$165.42
36415 Insertion of needle into vein for collection of blood sample	65	50	$6.00	$2.99
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	54	11	$313.33	$124.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	46	$518.00	$205.80
51700 Simple bladder irrigation and/or instillation	47	31	$190.00	$73.84
76000 Imaging guidance for procedure, 60 minutes or less	37	33	$33.00	$16.03
76872 Ultrasound scan of pelvic region through rectum	35	34	$275.86	$139.42
51702 Simple insertion of temporary bladder tube	26	15	$154.54	$60.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	12	$36.00	$14.11
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	22	22	$922.68	$371.84
51797 Insertion of device into abdomen with pressure and urine flow rate study	22	22	$384.77	$159.44
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	21	21	$172.29	$34.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	13	$408.00	$161.82
50590 Shock wave crushing of kidney stones	15	12	$1495.00	$589.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$723.38	$289.80
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	12	12	$110.00	$43.59
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	12	12	$421.00	$84.08
64581 Incision to insert sacral nerve neurostimulator electrodes	12	12	$1760.00	$702.81
64561 Insertion of sacral nerve neurostimulator electrode array	12	12	$1877.00	$1123.24
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	11	11	$2174.00	$866.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	448	253	$271.16	$106.42
81003 Automated urinalysis test	360	224	$6.00	$2.43
51798 Ultrasound measurement of bladder capacity after voiding	197	140	$49.82	$12.31
99213 Established patient office or other outpatient visit, typically 15 minutes	187	149	$183.52	$72.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$413.46	$161.96
51741 Electronic assessment of bladder emptying	119	96	$38.30	$10.65
52000 Diagnostic exam of bladder and urethra using an endoscope	86	72	$442.66	$185.47
76775 Limited ultrasound scan behind abdominal cavity	62	58	$131.97	$57.36
36415 Insertion of needle into vein for collection of blood sample	45	35	$6.00	$2.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$514.86	$203.11
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	32	32	$173.38	$33.72
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	32	32	$866.13	$342.03
51797 Insertion of device into abdomen with pressure and urine flow rate study	31	31	$302.32	$135.72
76872 Ultrasound scan of pelvic region through rectum	29	28	$238.03	$123.82
51702 Simple insertion of temporary bladder tube	23	14	$157.87	$61.12
51700 Simple bladder irrigation and/or instillation	19	17	$180.26	$71.01
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	14	$657.80	$268.67
74420 Imaging of urinary tract	13	11	$72.23	$25.82
76000 Imaging guidance for procedure, 60 minutes or less	13	13	$41.00	$15.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	538	251	$268.00	$106.44
81003 Automated urinalysis test	470	243	$6.00	$2.71
51798 Ultrasound measurement of bladder capacity after voiding	370	186	$45.42	$15.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$412.00	$163.55
51741 Electronic assessment of bladder emptying	139	89	$39.87	$11.43
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	107	27	$507.06	$62.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	88	$511.00	$204.34
52000 Diagnostic exam of bladder and urethra using an endoscope	88	80	$415.00	$162.96
76775 Limited ultrasound scan behind abdominal cavity	81	66	$116.00	$57.21
99213 Established patient office or other outpatient visit, typically 15 minutes	78	71	$182.00	$72.19
36415 Insertion of needle into vein for collection of blood sample	63	45	$6.00	$2.94
51700 Simple bladder irrigation and/or instillation	42	34	$185.00	$72.17
76872 Ultrasound scan of pelvic region through rectum	37	37	$187.68	$92.75
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	27	27	$1055.15	$236.74
51702 Simple insertion of temporary bladder tube	25	13	$161.00	$63.43
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	25	25	$167.84	$37.45
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	24	23	$620.00	$246.41
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	21	$265.05	$104.95
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	21	21	$800.90	$317.34
76000 Imaging guidance for procedure, 60 minutes or less	17	16	$18.00	$9.00
74420 Imaging of urinary tract	16	15	$51.88	$17.61
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1084.00	$433.64
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	14	$405.00	$135.38
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	12	12	$924.00	$53.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	105	77	$6.00	$3.02
51798 Ultrasound measurement of bladder capacity after voiding	93	64	$33.00	$18.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	61	$188.00	$104.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$290.00	$160.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	35	$362.00	$203.34
52000 Diagnostic exam of bladder and urethra using an endoscope	28	28	$289.00	$158.46
51741 Electronic assessment of bladder emptying	25	21	$95.00	$9.43
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$128.00	$72.00
76775 Limited ultrasound scan behind abdominal cavity	16	14	$102.00	$57.49
51700 Simple bladder irrigation and/or instillation	16	12	$127.00	$69.39
76000 Imaging guidance for procedure, 60 minutes or less	15	14	$82.00	$8.97

Medical Specialties & State Licenses

CMS Verified: 2020-09-22

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME133026

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Advanced Urology Institute Llc

35095 Us Hwy 19 N, Palm Harbor, FL 346841971

Phone: 7277710600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. David Jacob , MD

Urology

NPI 1316941073

Doctor of Medicine (M.D.)

Dr. Yaser Bassel , MD

Urology

NPI 1376740415

Doctor of Medicine (M.D.)

Dr. Brian Hale , MD

Urology

NPI 1457355059

Doctor of Medicine (M.D.)

Miranda Steininger , APRN

Nurse Practitioner - Family

NPI 1639929763

Advanced Practice Registered Nurse

Jillian Wynn , PA

Physician Assistant - Medical

NPI 1720764798

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Business Mailing Address September 22, 2020

Registered at 12109 COUNTY ROAD 103, OXFORD, FL 344842951 (Tel: 3522058981)

✅

NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 15, 2017

Registered at 35095 US HIGHWAY 19 N, STE 202, PALM HARBOR, FL 346841971 (Tel: (215) 955-6864)

📍

Updated Practice Location August 15, 2017

Registered at 35095 US HIGHWAY 19 N STE 202, PALM HARBOR, FL 346841971 (Tel: 7277710600)

👤

Provider Name / Credentials Updated August 15, 2017

Recorded as AMAR RAVAL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2017

Urology (License #ME133026 in FL)

📍

Updated Practice Location August 07, 2017

Registered at 35095 US HIGHWAY 19 N STE 202, PALM HARBOR, FL 346841971 (Tel: 7277710600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Urology (License #ME133026 in FL)

✅

NPI Profile Active April 19, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 19, 2011

Registered at 1015 CHESTNUT ST STE 260, PHILADELPHIA, PA 191074316 (Tel: 2159556864)

📍

Updated Business Mailing Address April 19, 2011

Registered at 1015 CHESTNUT ST STE 260, PHILADELPHIA, PA 191074316 (Tel: 2159556864)

👤

Provider Name / Credentials Updated April 19, 2011

Recorded as AMAR RAVAL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2011

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 19, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1346530755

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 19, 2011

Last Update: September 22, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12109 County Road 103

Oxford, FL 344842951

Phone: 3522058981

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.