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 1285855890

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

In the registry since
2007

Practice location Address checks out

1061 Medical Center Dr Ste 300
Orange City, FL 32763-8200
Phone: (386) 774-2121
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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 number1285855890
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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