OrganizationActive
Advanced Urology Institute, LLC
NPI 1336690205 · Non-Pharmacy Dispensing Site · Lecanto, FL
Provider details
- NPI number
- 1336690205
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Michael Grable, President(352) 205-8981
Specialties & taxonomies
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3264 W Audubon Park Path
Lecanto, FL 34461-8450
Phone: (352) 628-7671
Fax: (352) 628-9893
Street-level locationGet directions
Mailing address
12109 County Road 103
Oxford, FL 34484-2951
Registry dates
- Enumerated
- 2016-10-17
- Last updated
- 2022-12-07
- Certified
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.