ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY PA NPI 1639177579

NPI Information

  • NPI: 1639177579
  • Provider Name: ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • CLIA Number: 10D1017753
  • Address: 1641 TAMIAMI TRL
    SUITE 1
    PORT CHARLOTTE, FL
    ZIP 33948
  • Phone: (941) 629-6262

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NPI Details

ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA is an orthopaedic surgery in Port Charlotte, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA NPI is 1639177579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1641 TAMIAMI TRL
SUITE 1
PORT CHARLOTTE, FL
ZIP 33948-042
Phone: (941) 629-6262
Fax: (941) 629-1782

The provider's authorized official is Dale A Greenberg .
The authorized official title is Corporate President and has the following contact phone number (941) 629-6262.

The CLIA number assigned to this NPI record is 10D1017753 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 10/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1063789100MEDICAIDFLORIDA
277223OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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