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 1114148574

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

In the registry since
2007

Practice location Address checks out

1620 Mason Ave Ste E
Daytona Beach, FL 32117-7802
Phone: (386) 506-5115
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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 number1114148574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerri Creggar — Chief Operating Officer · (386) 239-8500
NPI enumeratedMay 2, 2007
Last updated in NPPESFebruary 14, 2008
Mailing address545 Health Blvd, Daytona Beach, FL 32114-1493

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