ADVANCED UROLOGY INSITUTE NPI 1306291240

NPI Information

ADVANCED UROLOGY INSITUTE is a non pharmacy dispensing site in St Petersburg, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ADVANCED UROLOGY INSITUTE NPI is 1306291240. The provider is registered as an organization entity type.

The provider's business location address is:

5747 38TH AVE N
ST PETERSBURG, FL
ZIP 33710-925
Phone: (727) 381-8667

The provider's authorized official is Michael S Grable .
The authorized official title is President and has the following contact phone number (352) 205-8981.

The CLIA number assigned to this NPI record is 10D0883791 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 12/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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