AVANT CONCIERGE UROLOGY LLC NPI 1578168019

NPI Information

  • NPI: 1578168019
  • Provider Name: AVANT CONCIERGE UROLOGY, LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 15548 W COLONIAL DR
    WINTER GARDEN, FL
    ZIP 34787
  • Phone: (140) 784-2830

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NPI Details

AVANT CONCIERGE UROLOGY, LLC is a medical specialty clinic center in Winter Garden, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). AVANT CONCIERGE UROLOGY, LLC NPI is 1578168019. The provider is registered as an organization entity type.

The provider's business location address is:

15548 W COLONIAL DR
WINTER GARDEN, FL
ZIP 34787-556
Phone: (140) 784-2830
Fax: (407) 650-2724

The provider's authorized official is Sijo Joseph Parekattil .
The authorized official title is Owner/president and has the following contact phone number (407) 547-1654.

The enumeration date for this NPI number is 12/2/2020 and was last updated on 12/2/2020.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/21/2025

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