# AVANT CONCIERGE UROLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578168019
- **Authorized official:** SIJO JOSEPH PAREKATTIL MD (OWNER/PRESIDENT)
- **Authorized official phone:** (407) 547-1654

## Contact information

- **Practice address:** 15548 W COLONIAL DR, WINTER GARDEN, FL 34787-9556
- **Practice address phone:** (140) 784-2830
- **Practice address fax:** (407) 650-2724
- **Mailing address:** 15548 W COLONIAL DR, WINTER GARDEN, FL 34787-9556
- **Mailing address phone:** (140) 784-2830
- **Mailing address fax:** (407) 650-2724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 12/02/2020