1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Non Pharmacy Dispensing Site
  6. NPI Profile

ADVANCED UROGYNECOLOGY
NPI 1033478755
Non-Pharmacy Dispensing Site in Orlando, FL

Active since May 15, 2012CLIA 10D2346322 · Waiver
2501 N ORANGE AVE, SUITE 210, ORLANDO, FL 32804(407) 898-9804 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Advanced Urogynecology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED UROGYNECOLOGY (NPI 1033478755) is a healthcare organization registered as a non-pharmacy dispensing site in Orlando, Florida and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Kristin M. Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1033478755
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameADVANCED WOMEN'S UROLOGY AND GYNECOLOGY, PLLC
Location Address2501 N ORANGE AVE, SUITE 210Orlando, FL 32804-4603
Mailing Address2980 N Beverly Glen Cir, Suite 301Los Angeles, CA 90077-1726 · (310) 474-9809
Phone(407) 898-9804
Organization SubpartYesParent: Advanced Women's Urology And Gynecology, Pllc
Authorized OfficialKristin M. JacksonOwner · (407) 898-9804
Enumeration DateMay 15, 2012
✔ NPI 1033478755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2501 N ORANGE AVE, Orlando, FL 32804
Open in Google Maps ↗

Other Names 1

Doing Business AsAdvanced Urogynecology

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2346322

Advanced Urogynecology · Maitland, FL
Active · expires Jun 28, 2028
CLIA Number10D2346322
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorKristin M. Jackson
Laboratory Phone(407) 898-9804
Laboratory LocationAdvanced Urogynecology260 Lookout Place, Suite 201, Maitland, FL 32751
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIHAL IJAZ KHAN MD
Internal Medicine
2501 N ORANGE AVE
ORLANDO, FL 32804
Orange County (407) 303-1812
DR. FRANK CORSON RIGGALL M.D.
Specialist
2501 N ORANGE AVE, SUITE 209
ORLANDO, FL 32804
Orange County (407) 898-0254
MR. RAUL NOEL CORREA BPHARM
Pharmacist
2501 N ORANGE AVE
ORLANDO, FL 32804
Orange County (407) 303-2559
HEMATOLOGY & ONCOLOGY CONSULTANTS
Internal Medicine (Hematology & Oncology)
2501 N ORANGE AVE, SUITE 381
ORLANDO, FL 32804
Orange County (407) 898-5452
TRAUMA PHYSICIANS SERVICE INC
Orthopaedic Surgery (Orthopaedic Trauma)
2501 N ORANGE AVE, SUITE 340
ORLANDO, FL 32804
Orange County (407) 895-3384
DR. MICHAEL RICHARD STONE DO
Internal Medicine (Hospice and Palliative Medicine)
2501 N ORANGE AVE
ORLANDO, FL 32804
Orange County (407) 303-2906
MITCHELL J FREED MD PL
Physical Medicine & Rehabilitation
2501 N ORANGE AVE, SUITE 505
ORLANDO, FL 32804
Orange County (407) 898-2924
JORGE A KUSNIR M.D.
Internal Medicine (Nephrology)
2501 N ORANGE AVE, SUITE 537N
ORLANDO, FL 32804
Orange County (407) 894-4693

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Women's Urology And Gynecology, PLLC's NPI number?

The NPI number for Advanced Women's Urology And Gynecology, PLLC is 1033478755. It was assigned to this organization in the NPPES registry on May 15, 2012. The provider is doing business as Advanced Urogynecology.

Where is Advanced Women's Urology And Gynecology, PLLC located?

Advanced Women's Urology And Gynecology, PLLC is located at 2501 N Orange Ave Suite 210, Orlando, FL 32804. The listed phone number is (407) 898-9804.

What is Advanced Women's Urology And Gynecology, PLLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Advanced Women's Urology And Gynecology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2346322) is associated with this NPI, valid through June 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Women's Urology And Gynecology, PLLC was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.