Healthcare Provider Details

I. General information

NPI: 1376016568
Provider Name (Legal Business Name): ADVANCED INNOVATIVE UROLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2019
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3032 E COMMERCIAL BLVD # 12
FORT LAUDERDALE FL
33308-4312
US

IV. Provider business mailing address

5000 N OCEAN BLVD APT 1101
LAUDERDALE BY THE SEA FL
33308-2925
US

V. Phone/Fax

Practice location:
  • Phone: 561-716-7455
  • Fax: 561-584-7360
Mailing address:
  • Phone: 561-716-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CURTIS N BERNSLEY
Title or Position: OWNER
Credential: MD
Phone: 561-716-7455