Provider Demographics
NPI:1487464012
Name:ATLAS SHRUGGED HOLDINGS LLC/DBA ATLAS UROLOGY
Entity type:Organization
Organization Name:ATLAS SHRUGGED HOLDINGS LLC/DBA ATLAS UROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-420-7656
Mailing Address - Street 1:3303 MANATEE AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-2550
Mailing Address - Country:US
Mailing Address - Phone:941-324-2550
Mailing Address - Fax:941-251-3422
Practice Address - Street 1:3303 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-2550
Practice Address - Country:US
Practice Address - Phone:941-324-2550
Practice Address - Fax:941-254-3422
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLAS SHRUGGED HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site