Organization
ADVANCED UROLOGY INSTITUTE LLC
Active
Organization
ADVANCED UROLOGY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM WILLIAMS (PRACTICE ADMINISTRATOR)
(850) 785-8557
Entity
Organization
Contact information
Practice address
500 W 11TH ST, PANAMA CITY, FL 32401-6304
(850) 785-8557
(850) 785-3497
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
06/09/2016
Last updated
04/02/2024
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