| NPI | 1033478755 |
|---|---|
| Doing Business As | ADVANCED UROGYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | KRISTIN M. JACKSON Owner 407-898-9804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |