Active NPI
Advanced Urology Institute, LLC
- Urology Physician
- Oxford, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- ADVANCED UROLOGY INSTITUTE, LLC
- Practice address
- 12109 County Road 103
Oxford, FL 34484-2951 - Phone
- (352) 391-6494
- Fax
- (352) 391-6498
- NPI assigned
- Nov 1, 2013
- Last updated
- Oct 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harvey Carl Taub, MD
- Title
- Market President
- Phone
- (352) 504-4623
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
12109 County Road 103
Oxford, FL 34484-2951
Mailing address
12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 504-4623
Other practice location 1
2000 Centre Pointe Blvd
Tallahassee, FL 32308-4894
Phone (850) 309-0400
Other practice location 2
555 N Byron Butler Pkwy
Perry, FL 32347-2315
Phone (850) 309-0400
Other practice location 3
20454 NE Finley Ave
Blountstown, FL 32424-6012
Phone (850) 309-0400
Other practice location 4
1775 E Bay Dr
Largo, FL 33771-2213
Phone (727) 441-1508
Other practice location 5
1035 Piper Blvd Ste 101
Naples, FL 34110-1449
Phone (239) 465-4157
Other practice location 6
2560 Enterprise Rd E
Clearwater, FL 33759-1010
Phone (727) 796-5354
Other practice location 7
1401 Pasadena Ave S Ste 4
South Pasadena, FL 33707-3715
Phone (727) 347-3116
Other practice location 8
5016 W Cypress St Ste 302
Tampa, FL 33607-3809
Phone (727) 441-1508
Other practice location 9
506 Palmetto St
New Smyrna Beach, FL 32168-7325
Phone (386) 427-9554
Other practice location 10
1620 Mason Ave Ste E
Daytona Beach, FL 32117-5513
Phone (386) 506-5115
Other practice location 11
2583 S Volusia Ave Ste 300
Orange City, FL 32763-9129
Phone (386) 774-2121
Other practice location 12
900 N Swallow Tail Dr Ste 106
Port Orange, FL 32129-6103
Phone (386) 756-1975
Other practice location 13
1901 SE 18th Ave Ste 300
Ocala, FL 34471-8214
Phone (352) 351-1313
Other practice location 14
609 W Highland Blvd
Inverness, FL 34452-4638
Phone (352) 726-9707
Other practice location 15
5747 38th Ave N
St Petersburg, FL 33710-1925
Phone (727) 381-8667
Other practice location 16
2148 Duck Slough Blvd Ste 102
New Port Richey, FL 34655-5068
Phone (727) 375-1975
Other practice location 17
210 S Lake St Ste 9
Leesburg, FL 34748-7369
Phone (352) 787-4567
Other practice location 18
2044 Trinity Oaks Blvd Ste 225
Trinity, FL 34655-4403
Phone (727) 785-6011
Other practice location 19
3075 W Gulf To Lake Hwy Ste A-C
Lecanto, FL 34461-9228
Phone (352) 527-0102
Other practice location 20
3264 W Audubon Park Path
Lecanto, FL 34461-8450
Phone (352) 628-7671
Other practice location 21
508 N Lecanto Hwy
Lecanto, FL 34461-8547
Phone (352) 689-1252
Other practice location 22
6811 Palisades Park Ct Ste 1
Fort Myers, FL 33912-7130
Phone (239) 533-5177
Other practice location 23
2650 Landmark Dr
Clearwater, FL 33761
Phone (727) 785-6011
Other practice location 24
11363 SW 95th Cir
Ocala, FL 34481-5064
Phone (352) 205-8981
Other practice location 25
2382 Crawfordville Hwy Ste 100-D
Crawfordville, FL 32327-1091
Phone (850) 309-0400
Other practice location 26
646 Virginia St Ste 701
Dunedin, FL 34698-6612
Phone (727) 785-6011
Other practice location 27
3890 Tampa Rd Ste 401
Palm Harbor, FL 34684-3675
Phone (727) 441-1508
Other practice location 28
1840 Mease Dr Ste 300
Safety Harbor, FL 34695-6605
Phone (727) 785-6011
Other practice location 29
545 Health Blvd
Daytona Beach, FL 32114-1493
Phone (368) 239-8500
Other practice location 30
110 NE 5th St
Carrabelle, FL 32322-3529
Phone (850) 309-0400
Other practice location 31
2730 N McMullen Booth Rd Ste 100
Clearwater, FL 33761-3302
Phone (727) 791-7300
Other practice location 32
9401 SW State Rd 200,
Ste 3001
Ocala, FL 34481
Phone (352) 351-2801
Other practice location 33
500 W 11th St
Panama City, FL 32401-6304
Phone (850) 785-8557
Other practice location 34
2900 S Highway 77
Lynn Haven, FL 32444-5612
Phone (850) 481-1687
Other practice location 35
240 Southpark Cir E
St Augustine, FL 32086-5137
Phone (904) 824-1450
Other practice location 36
61 Memorial Medical Pkwy Ste 3803
Palm Coast, FL 32164-5982
Phone (386) 445-8530
Other practice location 37
35095 US Highway 19 N Ste 202
Palm Harbor, FL 34684-1971
Phone (727) 771-0600
Other practice location 38
12780 Race Track Rd Ste 125
Tampa, FL 33626-1393
Phone (813) 746-0820
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140328000990 | FL | Part B Supplier - Clinic/Group Practice | 2163653585 | Receives reassigned benefits from 188 practitioners |
| O20160310001859 | GA | Part B Supplier - Clinic/Group Practice | 2163653585 |
Receives reassigned benefits from 3 practitioners Practice locations: Thomasville, GA |
Other NPIs with the same Medicare PAC ID 22
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community/Retail Pharmacy
- South Pasadena, FL
- NPI 1003437732
2163653585
-
- Durable Medical Equipment & Medical Supplies
- New Smyrna Beach, FL
- NPI 1134830763
2163653585
-
- Durable Medical Equipment & Medical Supplies
- New Port Richey, FL
- NPI 1164133799
2163653585
-
- Non-Pharmacy Dispensing Site
- Palm Harbor, FL
- NPI 1316392251
2163653585
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1376254904
2163653585
-
- Non-Pharmacy Dispensing Site
- Safety Harbor, FL
- NPI 1407201346
2163653585
-
- Durable Medical Equipment & Medical Supplies
- Lecanto, FL
- NPI 1417667098
2163653585
-
- Non-Pharmacy Dispensing Site
- Panama City, FL
- NPI 1467801456
2163653585
-
- Non-Pharmacy Dispensing Site
- Palm Coast, FL
- NPI 1528416096
2163653585
-
- Durable Medical Equipment & Medical Supplies
- Leesburg, FL
- NPI 1528778149
2163653585
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2025450 | Advanced Urology Institute | Certificate of waiver | Jun 8, 2027 |
| 10D2100420 | Advanced Urology Institute, LLC | Certificate of waiver | Aug 13, 2027 |
| 10D2147700 | Advanced Urology Institute, LLC | Certificate of waiver | Apr 23, 2028 |
| 10D2219925 | Advanced Urology Institute | Certificate of waiver | Apr 7, 2027 |
| 10D2233909 | Advanced Urology Institute | Certificate of waiver | Aug 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
2560 Enterprise Rd E
Clearwater, FL 33759
Phone (727) 796-5354
2730 N McMullen Booth Rd
Ste 100
Clearwater, FL 33761
Phone (727) 791-7300
609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707
3075 W Gulf To Lake Hwy
Ste Ac
Lecanto, FL 34461
Phone (352) 527-0102
3264 W Audubon Park Path
Lecanto, FL 34461
Phone (352) 628-7671
210 S Lake St
Ste 9
Leesburg, FL 34748
Phone (352) 435-7695
11363 SW 95th Cir
Ocala, FL 34481
Phone (352) 205-8981
2301 SE 3rd Ave
Ste 100A
Ocala, FL 34471
Phone (352) 351-0029
12109 County Road 103
Ste 1
Oxford, FL 34484
Phone (352) 205-8981
61 Memorial Medical Pkwy
Ste 3803
Palm Coast, FL 32164
Phone (386) 445-8530
1401 Pasadena Ave S
Ste 4
South Pasadena, FL 33707
Phone (727) 347-3116
510 Gordon Ave
Thomasville, GA 31792
Phone (229) 227-1997
Interoperability endpoints
- aamirhussain@aui.medalliesdirect.net
- adrianahernandez@aui.medalliesdirect.net
- andrewsher@aui.medalliesdirect.net
- angelikaagudelo@aui.medalliesdirect.net
- anthonycantwell@aui.medalliesdirect.net
- arashrafiei@aui.medalliesdirect.net
- ashleysuarez@aui.medalliesdirect.net
- carolegordon@aui.medalliesdirect.net
- charlespowell@aui.medalliesdirect.net
- danielzapata-vargas@aui.medalliesdirect.net
- davidcunningham@aui.medalliesdirect.net
- dineshrao@aui.medalliesdirect.net
- edwardking@aui.medalliesdirect.net
- evanfynes@aui.medalliesdirect.net
- francespulice@auiaus.medalliesdirect.net
- gordonfifer@aui.medalliesdirect.net
- harveytaub@aui.medalliesdirect.net
- howardepstein@aui.medalliesdirect.net
- https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
- janisjones@aui.medalliesdirect.net
Practitioners & affiliated clinicians
Practitioners 193
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Tallahassee, FL
- NPI 1740243526
-
- Family Nurse Practitioner
- Ocala, FL
- NPI 1265057798
-
- Family Nurse Practitioner
- Largo, FL
- NPI 1952030850
-
- Urology Physician
- Inverness, FL
- NPI 1700058351
-
- Urology Physician
- Palm Harbor, FL
- NPI 1376740415
-
- Urology Physician
- Largo, FL
- NPI 1528300712
-
- Medical Physician Assistant
- Panama City, FL
- NPI 1467291179
-
- Physician Assistant
- Largo, FL
- NPI 1467442814
-
- Physician Assistant
- Naples, FL
- NPI 1649203233
-
- Urology Physician
- Tallahassee, FL
- NPI 1679594402
-
- Urology Physician
- Naples, FL
- NPI 1679966832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791849600000",
"number": "1023447935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12109 COUNTY ROAD 103",
"city": "OXFORD",
"state": "FL",
"postal_code": "344842951",
"telephone_number": "352-504-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12109 COUNTY ROAD 103",
"city": "OXFORD",
"state": "FL",
"postal_code": "344842951",
"telephone_number": "352-391-6494",
"fax_number": "352-391-6498"
}
],
"practiceLocations": [
{
"address_1": "2000 Centre Pointe Blvd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084894",
"country_code": "US",
"telephone_number": "850-309-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 N Byron Butler Pkwy",
"address_purpose": "LOCATION",
"city": "Perry",
"state": "FL",
"postal_code": "323472315",
"country_code": "US",
"telephone_number": "850-309-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20454 NE Finley Ave",
"address_purpose": "LOCATION",
"city": "Blountstown",
"state": "FL",
"postal_code": "324246012",
"country_code": "US",
"telephone_number": "850-309-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1775 E Bay Dr",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337712213",
"country_code": "US",
"telephone_number": "727-441-1508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1035 Piper Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341101449",
"country_code": "US",
"telephone_number": "239-465-4157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2560 Enterprise Rd E",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337591010",
"country_code": "US",
"telephone_number": "727-796-5354",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Pasadena Ave S Ste 4",
"address_purpose": "LOCATION",
"city": "South Pasadena",
"state": "FL",
"postal_code": "337073715",
"country_code": "US",
"telephone_number": "727-347-3116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5016 W Cypress St Ste 302",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336073809",
"country_code": "US",
"telephone_number": "727-441-1508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "506 Palmetto St",
"address_purpose": "LOCATION",
"city": "New Smyrna Beach",
"state": "FL",
"postal_code": "321687325",
"country_code": "US",
"telephone_number": "386-427-9554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1620 Mason Ave Ste E",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321175513",
"country_code": "US",
"telephone_number": "386-506-5115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2583 S Volusia Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Orange City",
"state": "FL",
"postal_code": "327639129",
"country_code": "US",
"telephone_number": "386-774-2121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 N Swallow Tail Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Port Orange",
"state": "FL",
"postal_code": "321296103",
"country_code": "US",
"telephone_number": "386-756-1975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 SE 18th Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344718214",
"country_code": "US",
"telephone_number": "352-351-1313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "609 W Highland Blvd",
"address_purpose": "LOCATION",
"city": "Inverness",
"state": "FL",
"postal_code": "344524638",
"country_code": "US",
"telephone_number": "352-726-9707",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5747 38th Ave N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337101925",
"country_code": "US",
"telephone_number": "727-381-8667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2148 Duck Slough Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "New Port Richey",
"state": "FL",
"postal_code": "346555068",
"country_code": "US",
"telephone_number": "727-375-1975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 S Lake St Ste 9",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347487369",
"country_code": "US",
"telephone_number": "352-787-4567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2044 Trinity Oaks Blvd Ste 225",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "FL",
"postal_code": "346554403",
"country_code": "US",
"telephone_number": "727-785-6011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3075 W Gulf To Lake Hwy Ste A-C",
"address_purpose": "LOCATION",
"city": "Lecanto",
"state": "FL",
"postal_code": "344619228",
"country_code": "US",
"telephone_number": "352-527-0102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3264 W Audubon Park Path",
"address_purpose": "LOCATION",
"city": "Lecanto",
"state": "FL",
"postal_code": "344618450",
"country_code": "US",
"telephone_number": "352-628-7671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "508 N Lecanto Hwy",
"address_purpose": "LOCATION",
"city": "Lecanto",
"state": "FL",
"postal_code": "344618547",
"country_code": "US",
"telephone_number": "352-689-1252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6811 Palisades Park Ct Ste 1",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339127130",
"country_code": "US",
"telephone_number": "239-533-5177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2650 Landmark Dr",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "33761",
"country_code": "US",
"telephone_number": "727-785-6011",
"fax_number": "877-331-6124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11363 SW 95th Cir",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344815064",
"country_code": "US",
"telephone_number": "352-205-8981",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2382 Crawfordville Hwy Ste 100-D",
"address_purpose": "LOCATION",
"city": "Crawfordville",
"state": "FL",
"postal_code": "323271091",
"country_code": "US",
"telephone_number": "850-309-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "646 Virginia St Ste 701",
"address_purpose": "LOCATION",
"city": "Dunedin",
"state": "FL",
"postal_code": "346986612",
"country_code": "US",
"telephone_number": "727-785-6011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3890 Tampa Rd Ste 401",
"address_purpose": "LOCATION",
"city": "Palm Harbor",
"state": "FL",
"postal_code": "346843675",
"country_code": "US",
"telephone_number": "727-441-1508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1840 Mease Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Safety Harbor",
"state": "FL",
"postal_code": "346956605",
"country_code": "US",
"telephone_number": "727-785-6011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "545 Health Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321141493",
"country_code": "US",
"telephone_number": "368-239-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 NE 5th St",
"address_purpose": "LOCATION",
"city": "Carrabelle",
"state": "FL",
"postal_code": "323223529",
"country_code": "US",
"telephone_number": "850-309-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2730 N McMullen Booth Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337613302",
"country_code": "US",
"telephone_number": "727-791-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9401 SW State Rd 200,",
"address_2": "Ste 3001",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "34481",
"country_code": "US",
"telephone_number": "352-351-2801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W 11th St",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324016304",
"country_code": "US",
"telephone_number": "850-785-8557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 S Highway 77",
"address_purpose": "LOCATION",
"city": "Lynn Haven",
"state": "FL",
"postal_code": "324445612",
"country_code": "US",
"telephone_number": "850-481-1687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 Southpark Cir E",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320865137",
"country_code": "US",
"telephone_number": "904-824-1450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "61 Memorial Medical Pkwy Ste 3803",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321645982",
"country_code": "US",
"telephone_number": "386-445-8530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35095 US Highway 19 N Ste 202",
"address_purpose": "LOCATION",
"city": "Palm Harbor",
"state": "FL",
"postal_code": "346841971",
"country_code": "US",
"telephone_number": "727-771-0600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12780 Race Track Rd Ste 125",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336261393",
"country_code": "US",
"telephone_number": "813-746-0820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANCED UROLOGY INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-01",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A",
"authorized_official_last_name": "TAUB",
"authorized_official_first_name": "HARVEY",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "MARKET PRESIDENT",
"authorized_official_telephone_number": "352-504-4623",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oxford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.