ADVANCED UROLOGY INSTITUTE, LLC (NPI# 1023480217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023480217 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Practice Address |
2000 Centre Pointe Blvd Tallahassee FL 32308-4894 |
| Mailing Address |
12109 County Road 103 Oxford FL 34484-2951 |
| Practice Telephone | 8503090400 |
| Practice Fax Number | 8509422562 |
| Mailing Telephone | 3523916494 |
| Mailing Fax Number | 3523916498 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | MICHAEL S GRABLE (PRESIDENT) |
| Authorized Official Telephone | 3513916494 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891246765 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 609 W Highland Blvd, Inverness, FL 34452-4638 | 2016-10-17 |
| 1336690205 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 3475 S Suncoast Blvd, Homosassa, FL 34448-2322 | 2016-10-17 |
| 1972976512 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 2301 Se 3rd Ave, Bldg 100, Ste A, Ocala, FL 34471-5105 | 2015-11-04 |
| 1962875500 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 12109 County Road 103, Oxford, FL 34484-2951 | 2015-11-04 |
| 1023447935 | Advanced Urology Institute, LLC | Urology | 12109 County Road 103, Oxford, FL 34484-2951 | 2013-11-01 |
| 1790084648 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 3475 S Suncoast Blvd, Homosassa, FL 34448-5229 | 2011-03-17 |
| 1245539188 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 9401 Sw Highway 200, Bldg 3000 Ste 3001, Ocala, FL 34481-9612 | 2011-03-17 |
| 1306145263 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 12109 Cr 103, Oxford, FL 34484-2967 | 2011-03-17 |
| 1972741890 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 2301 Se 3rd Ave, Bldg 100 Ste A, Ocala, FL 34471-5114 | 2009-01-30 |
| 1649418609 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 1901 Se 18th Ave, Bldg 300, Ocala, FL 34471-8214 | 2009-01-29 |
| Street Address |
2000 CENTRE POINTE BLVD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487639969 | Jon J Soble | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2005-12-07 |
| 1588102081 | Stephanie Derouin | Nurse Practitioner | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2017-02-03 |
| 1346621992 | Michele Lee Martinez | Nurse Practitioner | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2015-06-09 |
| 1407249402 | Harold Jackson | Nurse Practitioner | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2015-03-15 |
| 1750492849 | Gregory Edward Lamendola | Orthopaedic Surgery | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-08-31 |
| 1679594402 | David Evan Burday | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-07-21 |
| 1588602999 | Southeastern Urological Center Pa | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-06-04 |
| 1912950296 | Jamey Alan Sarvis | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-05-18 |
| 1891746863 | Rebecca Hankins-ivey | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308 | 2006-05-15 |
| 1801844386 | Southeastern Urological Partners Ltd | Clinic/Center | 2000 Centre Pointe Blvd, Tallahassee, FL 32308 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417349184 | Planned Parenthood of South Florida & The Treasure Coast | Non-Pharmacy Dispensing Site | 2121 W Pensacola St, B-2, Tallahassee, FL 32304-3149 | 2015-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on ADVANCED UROLOGY INSTITUTE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.