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ADVANCED UROGYNECOLOGY
NPI 1649748666
Obstetrics & Gynecology - Gynecology in Maitland, FL

Active since November 07, 2018
260 LOOKOUT PL STE 201, MAITLAND, FL 32751(407) 898-9804(407) 898-9805 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2018, Nov 7, 2018 (2 updates tracked since 2018).

About Advanced Urogynecology NPPES

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

ADVANCED UROGYNECOLOGY (NPI 1649748666) is a healthcare organization registered as a gynecology in Maitland, Florida and active in the NPI registry since November 2018. The organization lists Kristin Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1649748666
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameKRISTIN M JACKSON LLC
Location Address260 LOOKOUT PL STE 201Maitland, FL 32751-4485
Mailing Address260 Lookout Pl Ste 201Maitland, FL 32751-4485 · (407) 898-9804 · Fax (407) 898-9805
Phone(407) 898-9804
Fax(407) 898-9805
Organization SubpartNo
Authorized OfficialKristin JacksonOwner · (407) 902-7400
Enumeration DateNovember 7, 2018
Last NPPES UpdateDecember 26, 20182 updates tracked since enumeration
✔ NPI 1649748666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
260 LOOKOUT PL STE 201, Maitland, FL 32751
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Other Names 1

Doing Business AsAdvanced Urogynecology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ERICA LIEBKNECHT PA
Urology (Urogynecology and Reconstructive Pelvic Surgery)
260 LOOKOUT PL STE 201
MAITLAND, FL 32751
Orange County (407) 440-1054

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 Kristin M Jackson LLC's NPI number?

The NPI number for Kristin M Jackson LLC is 1649748666. It was assigned to this organization in the NPPES registry on November 7, 2018. The provider is doing business as Advanced Urogynecology.

Where is Kristin M Jackson LLC located?

Kristin M Jackson LLC is located at 260 Lookout Pl Ste 201, Maitland, FL 32751. The listed phone number is (407) 898-9804.

What is Kristin M Jackson LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Kristin M Jackson LLC was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.