Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlantic Urological Associates P A

Organization Urology Physician · NPI 1053532572

Atlantic Urological Associates P A is an Urology Physician in St Augustine, Florida. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2460 Old Moultrie Rd Ste 5
St Augustine, FL 32086-4197
Phone: (904) 794-7870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1053532572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerri Creggar — Chief Operating Officer · (386) 239-8500
NPI enumeratedMay 1, 2007
Last updated in NPPESFebruary 14, 2008
Mailing address545 Health Blvd, Daytona Beach, FL 32114-1493

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