Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Wales Urology, LLC

Organization Urology Physician · NPI 1063849248

Lake Wales Urology, LLC is an Urology Physician in Lake Wales, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1110 Druid Cir
Lake Wales, FL 33853-4307
Phone: (863) 877-2411
Fax: (863) 877-2377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME87080 (FL)

Record details

NPI number1063849248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Loughlin — President · (863) 877-2411
NPI enumeratedOctober 2, 2013
Last updated in NPPESOctober 4, 2013
Mailing address1110 Druid Cir, Lake Wales, FL 33853-4307

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