# ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639177579
- **Authorized official:** DALE A GREENBERG MD (CORPORATE PRESIDENT)
- **Authorized official phone:** (941) 629-6262

## Contact information

- **Practice address:** 1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1042
- **Practice address phone:** (941) 629-6262
- **Practice address fax:** (941) 629-1782
- **Mailing address:** 1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1042
- **Mailing address phone:** (941) 629-6262
- **Mailing address fax:** (941) 629-1782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | FL | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 08/25/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 063789100 | — | FL |
| 01 | — | 77223 | BCBS | FL |