LAKE WALES UROLOGY, LLC – Urology Physician, NPI 1063849248

LAKE WALES UROLOGY, LLC is a healthcare provider. based in Lake wales, Florida. specializing in Urology Physician. The organization holds a License No. ME87080 (FL). The NPI Number for LAKE WALES UROLOGY, LLC is 1063849248

Main info

Organization
Name
LAKE WALES UROLOGY, LLC
NPI
1063849248
Phone
(863) 877-2411
Address
1110 DRUID CIR
Authorized Official
MATTHEW WILLIAM LOUGHLIN PRESIDENT MD
Enumeration Date
2 October 2013
Last Update Date
4 October 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for LAKE WALES UROLOGY, LLC

  • 1110 DRUID CIR

    LAKE WALES, FL 338534307

    Phone: (863) 877-2411

    Fax: (863) 877-2377

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33853)

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Frequently asked questions

How do I look up LAKE WALES UROLOGY, LLC by NPI?
Use NPI 1063849248 when you need to reference LAKE WALES UROLOGY, LLC in forms, claims, or directories.
Is LAKE WALES UROLOGY, LLC currently active in the NPI registry?
CMS-published data lists LAKE WALES UROLOGY, LLC as an active registrant.
Can you summarize LAKE WALES UROLOGY, LLC's specialty in plain language?
Clinically, the directory lists LAKE WALES UROLOGY, LLC with Urology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for LAKE WALES UROLOGY, LLC?
The page summarizes Lake Wales, Florida for LAKE WALES UROLOGY, LLC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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