OrganizationActive
Lake Wales Urology, LLC
NPI 1063849248 · Urology Physician · Lake Wales, FL
Lake Wales Urology, LLC is a Urology Physician organization in Lake Wales, FL (NPI 1063849248).
Provider details
- NPI number
- 1063849248
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Loughlin, President(863) 877-2411
- License
- ME87080 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1110 Druid Cir
Lake Wales, FL 33853-4307
Phone: (863) 877-2411
Fax: (863) 877-2377
Street-level locationGet directions
Mailing address
1110 Druid Cir
Lake Wales, FL 33853-4307
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2013-10-04
Frequently asked questions
- What is Lake Wales Urology, LLC's NPI number?
- Lake Wales Urology, LLC's National Provider Identifier (NPI) is 1063849248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Wales Urology, LLC?
- Lake Wales Urology, LLC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Wales Urology, LLC located?
- Lake Wales Urology, LLC's practice location on file with NPPES is 1110 Druid Cir, Lake Wales, FL 33853-4307.
- What is Lake Wales Urology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Wales Urology, LLC is (863) 877-2411.
- Who is the authorized official for Lake Wales Urology, LLC?
- The authorized official listed on Lake Wales Urology, LLC's NPPES record is Matthew Loughlin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Wales Urology, LLC's NPI active?
- Yes — Lake Wales Urology, LLC's NPI (1063849248) is active in the NPPES registry as of the last update on 2013-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.