Atlantic Urological Associates P A

LBN: Atlantic Urological Associates P A
Atlantic Urological Associates P A is an health care organization with primary practice located at 545 Health Blvd , Daytona Beach FL 32114-1493. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Atlantic Urological Associates P A can be contacted via phone (386) 239-8500, or through Creggar, Jerri via phone (386) 239-8500.

Contact Information

Primary practice address
545 Health Blvd Daytona Beach FL 32114-1493
Phone: (386) 239-8500
Fax: (386) 239-8530
Website:
Map and Directions
Authorized official contact:
Name: Creggar, Jerri
Phone: (386) 239-8500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1407812092
LBN Legal business name Atlantic Urological Associates P A
DBA Doing business as
Authorized official Creggar, Jerri
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2006
Last updated Dec 13th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407812092 NPPES
Other 1900147 UNITED HEALTHCARE
MEDICAID 037142400 UNITED HEALTHCARE
Other 99107 UNITED HEALTHCARE

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