1972741890 NPI number — ADVANCED UROLOGY INSTITUTE, LLC

Table of content: (NPI 1972741890)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972741890 NPI number — ADVANCED UROLOGY INSTITUTE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED UROLOGY INSTITUTE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972741890
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12109 CR 103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OXFORD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34484-2967
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-391-6494
Provider Business Mailing Address Fax Number:
352-391-6498

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2301 SE 3RD AVE
Provider Second Line Business Practice Location Address:
BLDG 100 STE A
Provider Business Practice Location Address City Name:
OCALA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34471-5114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-351-0029
Provider Business Practice Location Address Fax Number:
352-840-9977
Provider Enumeration Date:
01/30/2009

Additional Information

Authorized Official

Authorized Official Last Name:
TAUB
Authorized Official First Name:
HARVEY
Authorized Official Middle Name:
C
Authorized Official Title or Position:
VICE-PRESIDENT
Authorized Official Telephone Number:
352-351-1313

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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