ADVANCED UROGYNECOLOGY – NPI #1649748666
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

ADVANCED UROGYNECOLOGY is a provider located in MAITLAND, FL. NPPES has assigned the NPI number 1649748666 to ADVANCED UROGYNECOLOGY on November 07, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED UROGYNECOLOGY” is a dba name, the actual legal business name for this organization is KRISTIN M JACKSON LLC. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 7 years ago on Dec 26, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED UROGYNECOLOGY below.

NPI Profile for
KRISTIN M JACKSON LLC

NPI Number
1649748666
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KRISTIN M JACKSON LLC
Doing Business As (dba): ADVANCED UROGYNECOLOGY
Primary location
260 LOOKOUT PL STE 201
MAITLAND, FL 32751-4485
Phone: (407) 898-9804 Fax: (407) 898-9805
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KRISTIN JACKSON
OWNER
Phone: (407) 902-7400
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.