MEDICARE: ATLANTIC UROLOGICAL ASSOCIATES P A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician		FL

General Provider Information

NPI Number	:	1174792642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC UROLOGICAL ASSOCIATES P A

Provider Business Mailing Address
First Line	:	545 HEALTH BLVD
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-1493
Country	:	US
Telephone Number	:	386-239-8500
Fax Number	:	386-274-7126

Provider Business Practice Location Address
First Line	:	21 HOSPITAL DR
Second Line	:	SUITE 140
City	:	PALM COAST
State	:	FL
Zip	:	32164-2380
Country	:	US
Telephone Number	:	386-445-8530
Fax Number	:	386-446-5087

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	REINE C TEBBE
Credential	:
Telephone Number	:	386-274-4959

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	02/28/2008

Similar Medicare Providers

1356373054 — DR. STEVEN JOSEPH BROWN M.D.
Practice Location Address:

21 HOSPITAL DR , SUITE 270
PALM COAST, FL
32164-2380

Practice Phone: 386-437-5959
Practice Fax: 386-437-5390

1932329653 — DENNIS T ALTER MD PA
Practice Location Address:

21 HOSPITAL DR , SUITE 110
PALM COAST, FL
32164-2380

Practice Phone: 386-586-1370
Practice Fax: 386-586-1369

1265624852 — SJB MD PA
Practice Location Address:

21 HOSPITAL DR , SUITE 270
PALM COAST, FL
32164-2380

Practice Phone: 386-437-5959
Practice Fax:

1558530006 — EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Practice Location Address:

21 HOSPITAL DR , SUITE 130
PALM COAST, FL
32164-2380

Practice Phone: 386-274-7118
Practice Fax: 386-274-6173

1831369610 — PALM COAST SURGERY CENTER LLC
Practice Location Address:

21 HOSPITAL DRIVE , SUITE 220
PALM COAST, FL
32164-2380

Practice Phone: 386-447-4408
Practice Fax:

1396918579 — TOWN CENTER FAMILY CARE LLC
Practice Location Address:

21 HOSPITAL DR , STE 290
PALM COAST, FL
32164-2380

Practice Phone: 386-473-7977
Practice Fax: 386-437-7732

Directions to “ATLANTIC UROLOGICAL ASSOCIATES P A ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.