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Organization

ADVANCED UROLOGY INSTITUTE LLC

Active
Parent organization
ADVANCED UROLOGY INSTITUTE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVANCED UROLOGY INSTITUTE LLC
Authorized official
RICHARD WOOTEN (CEO)
(919) 397-8768
Entity
Organization

Contact information

Practice address
2148 DUCK SLOUGH BLVD STE 102-103, NEW PORT RICHEY, FL 34655-5068
(727) 375-1975
Mailing address
2148 DUCK SLOUGH BLVD STE 102-103, NEW PORT RICHEY, FL 34655-5068
(727) 375-1975

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
12/05/2022
Last updated
04/02/2024
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