Organization Active NPI

Advanced Urology Institute, LLC

  • Urology Physician
  • Oxford, FL
National Provider Identifier
1023447935
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Harvey Carl Taub, MDNPI 1740243526
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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).

View all 22

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2025450Advanced Urology Institute110 NE 5TH St, Carrabelle, FL 32322Certificate of waiverJun 8, 2027
10D2100420Advanced Urology Institute, LLC646 Virginia St Ste 701, Dunedin, FL 34698Certificate of waiverAug 13, 2027
10D2147700Advanced Urology Institute, LLC3890 Tampa Rd - Ste 401, Palm Harbor, FL 34684Certificate of waiverApr 23, 2028
10D2219925Advanced Urology Institute2382 Crawfordville Highway Ste 100 D1, Crawfordville, FL 32327Certificate of waiverApr 7, 2027
10D2233909Advanced Urology Institute900 N Swallow Tail Dr #106, Port Orange, FL 32129Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory

Locations

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

  • Direct secure messaging: aamirhussain@aui.medalliesdirect.net
  • Direct secure messaging: adrianahernandez@aui.medalliesdirect.net
  • Direct secure messaging: andrewsher@aui.medalliesdirect.net
  • Direct secure messaging: angelikaagudelo@aui.medalliesdirect.net
  • Direct secure messaging: anthonycantwell@aui.medalliesdirect.net
  • Direct secure messaging: arashrafiei@aui.medalliesdirect.net
  • Direct secure messaging: ashleysuarez@aui.medalliesdirect.net
  • Direct secure messaging: carolegordon@aui.medalliesdirect.net
  • Direct secure messaging: charlespowell@aui.medalliesdirect.net
  • Direct secure messaging: danielzapata-vargas@aui.medalliesdirect.net
  • Direct secure messaging: davidcunningham@aui.medalliesdirect.net
  • Direct secure messaging: dineshrao@aui.medalliesdirect.net
  • Direct secure messaging: edwardking@aui.medalliesdirect.net
  • Direct secure messaging: evanfynes@aui.medalliesdirect.net
  • Direct secure messaging: francespulice@auiaus.medalliesdirect.net
  • Direct secure messaging: gordonfifer@aui.medalliesdirect.net
  • Direct secure messaging: harveytaub@aui.medalliesdirect.net
  • Direct secure messaging: howardepstein@aui.medalliesdirect.net
  • FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
  • Direct secure messaging: 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.

View all 193

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.

Verify at the official NPI Registry.