1134661309 NPI number — ADVANCED ORTHOPEDICS INSTITUTE, P.A.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134661309 NPI number — ADVANCED ORTHOPEDICS INSTITUTE, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED ORTHOPEDICS INSTITUTE, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134661309
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1400 N US HIGHWAY 441 STE 552
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THE VILLAGES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32159-8987
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-751-2862
Provider Business Mailing Address Fax Number:
352-751-5541

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 N US HIGHWAY 441
Provider Second Line Business Practice Location Address:
SHARON MORSE MEDICAL OFFICE BUILDING, SUITE 552
Provider Business Practice Location Address City Name:
THE VILLAGES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32159-8975
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-751-2862
Provider Business Practice Location Address Fax Number:
352-751-5541
Provider Enumeration Date:
11/04/2016

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
T
Authorized Official Title or Position:
PRESIDENT/PHYSICIAN/PARTNER
Authorized Official Telephone Number:
215-696-1283

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  ME109839 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 002036900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1861650145 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 003708700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1790745164 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 019677000 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com