Organization · NPI-2

Advanced Urology Institute LLC

Durable Medical Equipment & Medical Supplies · Clearwater, FL

NPI number1053022681
StatusActive
Last updated in NPPESDec 8, 2022

Details

NPI
1053022681
Entity type
Organization (NPI-2)
Legal business name
Advanced Urology Institute LLC
Organization subpart
Yes
Enumeration date
Dec 5, 2022
Certification date
Dec 8, 2022
Last updated
Dec 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

2560 Enterprise Rd E
Clearwater, FL 33759-1010

Phone 727-796-5354

Mailing address

2560 Enterprise Rd E
Clearwater, FL 33759-1010

Phone 727-796-5354

Authorized official

Richard Wooten
Ceo
9193978768

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