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
MICHAEL GRABLE MD (PRESIDENT)
(386) 239-8500
Entity
Organization
Contact information
Practice address
2583 S VOLUSIA AVE STE 300, ORANGE CITY, FL 32763
(386) 774-2121
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
05/01/2007
Last updated
04/02/2024
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