Advanced Urology Institute LLC

NPI #1134830763 in New Smyrna Beach, Florida

Provider Information

NPI Number
1134830763
Entity Type
Organization
Organization Name
Advanced Urology Institute LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ADVANCED UROLOGY INSTITUTE LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Dec 5, 2022
Last Updated
Apr 2, 2024

Practice Location

Address
506 PALMETTO ST
State
Florida
ZIP Code
32168-7325
Phone
(386) 427-9554

Authorized Official

Name
RICHARD WOOTEN
Title
CEO
Phone
(919) 397-8768

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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