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LAKE WALES UROLOGY, LLC
NPI 1063849248
Urology in Lake Wales, FL

Active since October 02, 2013
1110 DRUID CIR, LAKE WALES, FL 33853(863) 877-2411(863) 877-2377 Get Directions Write a Review

NPPES record last updated: October 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Wales Urology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE WALES UROLOGY, LLC (NPI 1063849248) is a healthcare organization registered as an urology in Lake Wales, Florida and active in the NPI registry since October 2013. The organization lists Matthew William Loughlin, President, as its authorized official.

NPPES Registry Identity

NPI1063849248
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameLAKE WALES UROLOGY, LLC
Location Address1110 DRUID CIRLake Wales, FL 33853-4307
Mailing Address1110 Druid CirLake Wales, FL 33853-4307 · (863) 877-2411 · Fax (863) 877-2377
Phone(863) 877-2411
Fax(863) 877-2377
Organization SubpartNo
Authorized OfficialMatthew William LoughlinPresident · (863) 877-2411
Enumeration DateOctober 2, 2013
Last NPPES UpdateOctober 4, 2013
✔ NPI 1063849248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME87080
Definition
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.
1110 DRUID CIR, Lake Wales, FL 33853
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Other Identifiers 1

Medicare UPING76193FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAL ASSOCIATES OF CENTRAL FLORIDA
Internal Medicine (Pulmonary Disease)
1110 DRUID CIR
LAKE WALES, FL 33853
Polk County (863) 877-2411
DR. MAHESH GANDHI ALLAM M.D.
Internal Medicine
1110 DRUID CIR
LAKE WALES, FL 33853
Polk County (863) 877-2411
WILLIAM BARRINGER M.D.
Family Medicine
1110 DRUID CIR
LAKE WALES, FL 33853
Polk County (863) 679-6620
MEDICAL ASSOCIATES OF CENTRAL FLORIDA PHYSICIANS, LLC
Internal Medicine
1110 DRUID CIR
LAKE WALES, FL 33853
Polk County (863) 877-2411
BARRINGER,NELSON & HOLMES PA
Family Medicine
1110 DRUID CIR
LAKE WALES, FL 33853
Polk County (863) 676-7914
WILLIAM J BARRINGER
Family Medicine
1110 DRUID CIR
LAKE WALES, FL 33853
Polk County (863) 679-6620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Wales Urology, LLC's NPI number?

The NPI number for Lake Wales Urology, LLC is 1063849248. It was assigned to this organization in the NPPES registry on October 2, 2013.

Where is Lake Wales Urology, LLC located?

Lake Wales Urology, LLC is located at 1110 Druid Cir, Lake Wales, FL 33853. The listed phone number is (863) 877-2411.

What is Lake Wales Urology, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Lake Wales Urology, LLC was last updated on October 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.