Organization

Advanced Urology Institute Llc

Non-Pharmacy Dispensing Site in St Augustine, FL(View on Map)

Legal Business Name

Advanced Urology Institute Llc

NPI Number

1932557451

NPI Type

Organization

Enumeration Date

05/25/2016

Specialties

(Taxonomies)

Code

332900000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

12109 COUNTY ROAD 103
240 SOUTHPARK CIR E

City

Oxford
St Augustine

State

FL
FL

Postal Code

34484-2951
32086-5137

Country

US
US

Telephone Number

(352) 205-8981
(904) 824-1490

Authorized Official

Name

Dr. Scott Sellinger

Title or Position

PRESIDENT

Telephone Number

(352) 205-8981

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service

Endpoint Description

2.16.840.1.113883.3.1066.1

Use

Other

Content Type

CSV

Affiliation

Y

Endpoint Location

eSolutions Inc8215 W 108th TerOverland Park, KS662101661US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/02/2024

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