NPIMap

Advanced Urology Institute LLC

Organization Active NPI Non-Pharmacy Dispensing Site · Safety Harbor, FL

NPI 1407201346 · NPPES record last updated Apr 2, 2024

Key facts

NPI
1407201346
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
Legal business name
ADVANCED UROLOGY INSTITUTE LLC
Practice address
1840 Mease Dr
Suite 300
Safety Harbor, FL 34695-6602
Phone
(727) 785-6011
NPI assigned
Apr 28, 2016
Organization subpart
Yes
Parent organization (as reported)
ADVANCED UROLOGY INSTITUTE LLC

Authorized official

Name
Michael S Grable, M.D.
Title
President
Phone
(352) 205-8981

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Practitioners 152

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 152

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230224001162 FL DME Supplier - Physician - Urology 2163653585 Practice locations: Safety Harbor, FL

National Provider Directory

Tax ID family
Advanced Urology Ins LLC (31 organizations share this tax ID)
Part of
Advanced Urology Ins LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Yes

Addresses

Primary practice location

1840 Mease Dr
Suite 300
Safety Harbor, FL 34695-6602

Mailing address

1840 Mease Dr
Suite 300
Safety Harbor, FL 34695-6602
Phone (727) 785-6011

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Other providers in Safety Harbor, FL

All providers in Safety Harbor, FL · Non-Pharmacy Dispensing Site in Florida

Sources for this page

Verify at the official NPI Registry.