# ADVANCED UROLOGY INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED UROLOGY INSTITUTE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053022681
- **Legal business name:** ADVANCED UROLOGY INSTITUTE LLC
- **Authorized official:** RICHARD WOOTEN (CEO)
- **Authorized official phone:** (919) 397-8768

## Contact information

- **Practice address:** 2560 ENTERPRISE RD E, CLEARWATER, FL 33759-1010
- **Practice address phone:** (727) 796-5354
- **Mailing address:** 2560 ENTERPRISE RD E, CLEARWATER, FL 33759-1010
- **Mailing address phone:** (727) 796-5354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2022
- **Last updated:** 12/08/2022