ADVANCED UROLOGY INSTITUTE, LLC – Urology Physician, NPI 1023447935
Urology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ADVANCED UROLOGY INSTITUTE, LLC
12109 COUNTY ROAD 103
OXFORD, FL 344842951
Phone: (352) 205-8981
Fax: (352) 205-8981
Type: Mailing
35095 US Highway 19 N Ste 202
Palm Harbor, FL 346841971
Phone: (727) 771-0600
Type: Location
2148 Duck Slough Blvd Ste 102
New Port Richey, FL 346555068
Phone: (727) 375-1975
Type: Location
12780 Race Track Rd Ste 125
Tampa, FL 336261393
Phone: (813) 746-0820
Type: Location
2000 Centre Pointe Blvd
Tallahassee, FL 323084894
Phone: (850) 309-0400
Type: Location
20454 NE Finley Ave
Blountstown, FL 324246012
Phone: (850) 309-0400
Type: Location
555 N Byron Butler Pkwy
Perry, FL 323472315
Phone: (850) 309-0400
Type: Location
2382 Crawfordville Hwy Ste 100-D
Crawfordville, FL 323271091
Phone: (850) 309-0400
Type: Location
110 NE 5th St
Carrabelle, FL 323223529
Phone: (850) 309-0400
Type: Location
5747 38th Ave N
St Petersburg, FL 337101925
Phone: (727) 381-8667
Type: Location
1401 Pasadena Ave S Ste 4
South Pasadena, FL 337073715
Phone: (727) 347-3116
Type: Location
2560 Enterprise Rd E
Clearwater, FL 337591010
Phone: (727) 796-5354
Type: Location
5016 W Cypress St Ste 302
Tampa, FL 336073809
Phone: (727) 441-1508
Type: Location
646 Virginia St Ste 701
Dunedin, FL 346986612
Phone: (727) 785-6011
Type: Location
6811 Palisades Park Ct Ste 1
Fort Myers, FL 339127130
Phone: (239) 533-5177
Type: Location
1775 E Bay Dr
Largo, FL 337712213
Phone: (727) 441-1508
Type: Location
1035 Piper Blvd Ste 101
Naples, FL 341101449
Phone: (239) 465-4157
Type: Location
545 Health Blvd
Daytona Beach, FL 321141493
Phone: (368) 239-8500
Type: Location
61 Memorial Medical Pkwy Ste 3803
Palm Coast, FL 321645982
Phone: (386) 445-8530
Type: Location
240 Southpark Cir E
St Augustine, FL 320865137
Phone: (904) 824-1450
Type: Location
506 Palmetto St
New Smyrna Beach, FL 321687325
Phone: (386) 427-9554
Type: Location
3264 W Audubon Park Path
Lecanto, FL 344618450
Phone: (352) 628-7671
Type: Location
508 N Lecanto Hwy
Lecanto, FL 344618547
Phone: (352) 689-1252
Type: Location
3890 Tampa Rd Ste 401
Palm Harbor, FL 346843675
Phone: (727) 441-1508
Type: Location
2044 Trinity Oaks Blvd Ste 225
Trinity, FL 346554403
Phone: (727) 785-6011
Type: Location
1840 Mease Dr Ste 300
Safety Harbor, FL 346956605
Phone: (727) 785-6011
Type: Location
2583 S Volusia Ave Ste 300
Orange City, FL 327639129
Phone: (386) 774-2121
Type: Location
1620 Mason Ave Ste E
Daytona Beach, FL 321175513
Phone: (386) 506-5115
Type: Location
900 N Swallow Tail Dr Ste 106
Port Orange, FL 321296103
Phone: (386) 756-1975
Type: Location
1901 SE 18th Ave Ste 300
Ocala, FL 344718214
Phone: (352) 351-1313
Type: Location
609 W Highland Blvd
Inverness, FL 344524638
Phone: (352) 726-9707
Type: Location
210 S Lake St Ste 9
Leesburg, FL 347487369
Phone: (352) 787-4567
Type: Location
9401 SW State Rd 200,
Ste 3001
Ocala, FL 34481
Phone: (352) 351-2801
Type: Location
3075 W Gulf To Lake Hwy Ste A-C
Lecanto, FL 344619228
Phone: (352) 527-0102
Type: Location
500 W 11th St
Panama City, FL 324016304
Phone: (850) 785-8557
Type: Location
2900 S Highway 77
Lynn Haven, FL 324445612
Phone: (850) 481-1687
Type: Location
2730 N McMullen Booth Rd Ste 100
Clearwater, FL 337613302
Phone: (727) 791-7300
Type: Location
11363 SW 95th Cir
Ocala, FL 344815064
Phone: (352) 205-8981
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (279 days ago).
Enrollment records
2
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20140328000990 | O | Clinic/Group Practice | FL | TBD |
| O20160310001859 | O | Clinic/Group Practice | GA | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34484)
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