Organization
ATLANTIC UROLOGICAL ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINE C TEBBE (BILLING MANAGER)
(386) 274-4959
Entity
Organization
Contact information
Practice address
21 HOSPITAL DR, SUITE 140, PALM COAST, FL 32164-2380
(386) 445-8530
(386) 446-5087
Mailing address
545 HEALTH BLVD, DAYTONA BEACH, FL 32114-1493
(386) 239-8500
(386) 274-7126
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
FL
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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