MEDICARE: ADVANCED INNOVATIVE UROLOGY PA

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

General Provider Information

NPI Number	:	1376016568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED INNOVATIVE UROLOGY PA

Provider Business Mailing Address
First Line	:	5000 N OCEAN BLVD APT 1101
Second Line	:
City	:	LAUDERDALE BY THE SEA
State	:	FL
Zip	:	33308-2925
Country	:	US
Telephone Number	:	561-716-7455
Fax Number	:

Provider Business Practice Location Address
First Line	:	3032 E COMMERCIAL BLVD # 12
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4312
Country	:	US
Telephone Number	:	561-716-7455
Fax Number	:	561-584-7360

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CURTIS N BERNSLEY
Credential	:	MD
Telephone Number	:	561-716-7455

Provider Enumeration Date	:	01/10/2019
Last Update Date	:	09/30/2025

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