# ADVANCED ORTHOPEDIC SURGERY OF CELEBRATION, LLC

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

## Provider details

- **NPI number:** 1639351398
- **Authorized official:** DR. LARRY R. PADGETT JR. M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (863) 318-9696

## Contact information

- **Practice address:** 250 3RD ST NW, SUITE 201, WINTER HAVEN, FL 33881-4605
- **Practice address phone:** (863) 318-9696
- **Practice address fax:** (863) 318-8075
- **Mailing address:** PO BOX 490, EAGLE LAKE, FL 33839-0490
- **Mailing address phone:** (863) 318-9696
- **Mailing address fax:** (863) 318-8075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME75825 | FL | Yes |

## Other

- **Enumeration date:** 12/04/2007
- **Last updated:** 02/29/2012
