Organization
ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE A GREENBERG MD (CORPORATE PRESIDENT)
(941) 629-6262
Entity
Organization
Contact information
Practice address
1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1042
(941) 629-6262
(941) 629-1782
Mailing address
1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1042
(941) 629-6262
(941) 629-1782
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063789100
—
FL
01
—
77223
BCBS
FL
Enumeration date
07/13/2005
Last updated
10/01/2024
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