Atlantic Urological Associates P a
NPI #1053532572 in St Augustine, Florida
Provider Information
- NPI Number
- 1053532572
- Entity Type
- Organization
- Organization Name
- Atlantic Urological Associates P a
- Primary Specialty
- Urology
- Enumeration Date
- May 1, 2007
- Last Updated
- Feb 14, 2008
Practice Location
- Address
- 2460 OLD MOULTRIE RD
- Address 2
- SUITE 5
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-4197
- Phone
- (904) 794-7870
Authorized Official
- Name
- JERRI CREGGAR
- Title
- CHIEF OPERATING OFFICER
- Phone
- (386) 239-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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