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UROLOGY ASSOCIATES OF NORTHEAST FLORIDA
NPI 1932444254
Urology in Orange Park, FL

Active since November 28, 2012CLIA 10D0857904 · Microscopy
1715 VILLAGE WAY, ORANGE PARK, FL 32073(904) 264-8418(904) 264-9692 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Urology Associates Of Northeast Florida NPPES

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

UROLOGY ASSOCIATES OF NORTHEAST FLORIDA (NPI 1932444254) is a healthcare organization registered as an urology in Orange Park, Florida and active in the NPI registry since November 2012. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Mitchell D. Terk, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1932444254
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFLORIDA PHYSICIAN SPECIALISTS LLC
Location Address1715 VILLAGE WAYOrange Park, FL 32073-5263
Mailing Address3599 University Blvd S, Suite 805Jacksonville, FL 32216-4252 · (904) 309-8680 · Fax (904) 345-5841
Phone(904) 264-8418
Fax(904) 264-9692
Organization SubpartNo
Authorized OfficialMitchell D. TerkAuthorized Official · (904) 309-8680
Enumeration DateNovember 28, 2012
✔ NPI 1932444254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME59868
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.
1715 VILLAGE WAY, Orange Park, FL 32073
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Other Names 1

Doing Business AsUrology Associates Of Northeast Florida

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0857904

Urology Associates Of Northeast Florida · Orange Park, FL
Active · expires Aug 31, 2028
CLIA Number10D0857904
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMarc E. Blasser
Laboratory Phone(904) 264-8418
Laboratory LocationUrology Associates Of Northeast Florida1715 Village Way, Orange Park, FL 32073
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

DR. DAVID SCOTT BARGNESI MD
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
DR. MARC HEPNER BLASSER M.D.
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
UROLOGY ASSOC. OF N.E. FLORIDA
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
CHRISTOPHER MOORE M.D.
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
MR. DAVID WAYNE FORBIS PA-C
Physician Assistant (Surgical)
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
DR. JAMES EMMETT KAELIN M.D.
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418

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 Florida Physician Specialists LLC's NPI number?

The NPI number for Florida Physician Specialists LLC is 1932444254. It was assigned to this organization in the NPPES registry on November 28, 2012. The provider is doing business as Urology Associates Of Northeast Florida.

Where is Florida Physician Specialists LLC located?

Florida Physician Specialists LLC is located at 1715 Village Way, Orange Park, FL 32073. The listed phone number is (904) 264-8418.

What is Florida Physician Specialists LLC's specialty?

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

Does Florida Physician Specialists LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D0857904) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Physician Specialists LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Florida Physician Specialists LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Physician Specialists LLC was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.