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 1407812092

Atlantic Urological Associates P A is an Urology Physician in Daytona Beach, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

545 Health Blvd
Daytona Beach, FL 32114-1493
Phone: (386) 239-8500
Fax: (386) 239-8530
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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 number1407812092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerri Creggar — Chief Operating Officer · (386) 239-8500
NPI enumeratedApril 24, 2006
Last updated in NPPESDecember 13, 2012
Mailing address545 Health Blvd, Daytona Beach, FL 32114-1493

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