Advanced Urology Institute LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Trinity, FL

NPI 1669186151 · NPPES record last updated Apr 2, 2024

Key facts

NPI
1669186151
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ADVANCED UROLOGY INSTITUTE LLC
Practice address
2044 Trinity Oaks Blvd
Trinity, FL 34655-4405
Phone
(727) 785-6011
NPI assigned
Jan 9, 2023
Organization subpart
Yes
Parent organization (as reported)
ADVANCED UROLOGY INSTITUTE LLC

Authorized official

Name
Richard Wooten
Title
Ceo
Phone
(919) 397-8768

National Provider Directory

Part of
Advanced Urology Ins LLC

Locations

2044 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 645-6900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

2044 Trinity Oaks Blvd
Trinity, FL 34655-4405

Mailing address

2044 Trinity Oaks Blvd
Trinity, FL 34655-4405

Electronic endpoints

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

Other providers in Trinity, FL

All providers in Trinity, FL · Durable Medical Equipment & Medical Supplies in Florida

Sources for this page

Verify at the official NPI Registry.