Organization
ADVANCED UROLOGY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO RIVERA MD (AUTHORIZED OFFICIAL)
(352) 205-8981
Entity
Organization
Contact information
Practice address
1401 PASADENA AVE S STE 5, SOUTH PASADENA, FL 33707-3715
(727) 241-4994
(727) 241-5090
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
04/02/2024
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