Organization
ADVANCED UROLOGY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GRABLE MD (PRESIDENT)
(352) 205-8981
Entity
Organization
Contact information
Practice address
3264 W AUDUBON PARK PATH, LECANTO, FL 34461-8450
(352) 628-7671
(352) 628-9893
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
12/07/2022
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