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ADVANCED UROLOGY INSTITUTE LLC NPI 1407201346


NPI Information

NPI: 1407201346
Provider Name: ADVANCED UROLOGY INSTITUTE LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 10D2100420

Address:
1840 MEASE DR
SUITE 300
SAFETY HARBOR, FL
ZIP 34695
Phone: (727) 785-6011
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ADVANCED UROLOGY INSTITUTE LLC is a non pharmacy dispensing site in Safety Harbor, 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 INSTITUTE LLC NPI is 1407201346. The provider is registered as an organization entity type.

The provider's business location address is:

1840 MEASE DR
SUITE 300
SAFETY HARBOR, FL
ZIP 34695-602
Phone: (727) 785-6011

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 10D2100420 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 4/2/2024.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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