ATLANTIC UROLOGICAL ASSOCIATES P A NPI 1659586840

NPI Information

  • NPI: 1659586840
  • Provider Name: ATLANTIC UROLOGICAL ASSOCIATES P A
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 545 HEALTH BLVD
    DAYTONA BEACH, FL
    ZIP 32114
  • Phone: (386) 239-8500

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NPI Details

ATLANTIC UROLOGICAL ASSOCIATES P A is an urology in Daytona Beach, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ATLANTIC UROLOGICAL ASSOCIATES P A NPI is 1659586840. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

545 HEALTH BLVD
DAYTONA BEACH, FL
ZIP 32114-493
Phone: (386) 239-8500

The provider's authorized official is Jerri Creggar .
The authorized official title is Chief Operating Officer and has the following contact phone number (386) 239-8500.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 2/14/2008.

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
1208800000XUrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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