Provider Demographics
NPI:1205847456
Name:ADVANCED ORTHOPAEDICS INC
Entity Type:Organization
Organization Name:ADVANCED ORTHOPAEDICS INC
Other - Org Name:SPINE/ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MERRILL
Authorized Official - Middle Name:W
Authorized Official - Last Name:REUTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-939-6325
Mailing Address - Street 1:3500 PRINCETON DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9353
Mailing Address - Country:US
Mailing Address - Phone:561-939-6325
Mailing Address - Fax:561-899-0460
Practice Address - Street 1:7138 LAKE WORTH RD STE C
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2970
Practice Address - Country:US
Practice Address - Phone:561-939-6325
Practice Address - Fax:561-899-0460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0054695207X00000X, 207XS0117X
FLPO-0002641213ES0103X
261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6324AMedicare PIN