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Organization

ADVANCED UROLOGY INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT SELLINGER (PRESIDENT)
(352) 205-8981
Entity
Organization

Contact information

Practice address
240 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5137
(904) 824-1490
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
05/25/2016
Last updated
04/02/2024
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