Provider Demographics
NPI:1134661309
Name:ADVANCED ORTHOPEDICS INSTITUTE, P.A.
Entity Type:Organization
Organization Name:ADVANCED ORTHOPEDICS INSTITUTE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:215-696-1283
Mailing Address - Street 1:1400 N US HIGHWAY 441 STE 552
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-8987
Mailing Address - Country:US
Mailing Address - Phone:352-751-2862
Mailing Address - Fax:352-751-5541
Practice Address - Street 1:1400 N US HIGHWAY 441
Practice Address - Street 2:SHARON MORSE MEDICAL OFFICE BUILDING, SUITE 552
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8975
Practice Address - Country:US
Practice Address - Phone:352-751-2862
Practice Address - Fax:352-751-5541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109839174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002036900Medicaid
1861650145OtherNPPES
FL003708700Medicaid
1790745164OtherNPPES
FLG96123Medicare UPIN
1790745164OtherNPPES