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NPI 1376016568

NPI 1376016568 : ADVANCED INNOVATIVE UROLOGY PA : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1376016568
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVANCED INNOVATIVE UROLOGY PA 
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Dates
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    Enumeration Date     |    01/10/2019
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    Last Update Date     |    09/30/2025
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Provider Practice Location Address
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    Address Line         |    3032 E COMMERCIAL BLVD # 12 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33308-4312
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    Country              |    US
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    Telephone            |    561-716-7455
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    Fax                  |    561-584-7360
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Provider Business Mailing Address
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    Address Line         |    5000 N OCEAN BLVD APT 1101 
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    City                 |    LAUDERDALE BY THE SEA
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    State                |    FL
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    Zip                  |    33308-2925
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    Country              |    US
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    Telephone            |    561-716-7455
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CURTIS N BERNSLEY 
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    Credential           |    MD
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    Telephone            |    561-716-7455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    
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    License Number State |    
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