Provider Demographics
NPI:1821061235
Name:ADVANCED ORTHOPAEDIC ASSOC PA
Entity Type:Organization
Organization Name:ADVANCED ORTHOPAEDIC ASSOC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-384-5088
Mailing Address - Street 1:3250 5TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-7612
Mailing Address - Country:US
Mailing Address - Phone:727-384-5088
Mailing Address - Fax:727-384-8112
Practice Address - Street 1:3250 5TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-7612
Practice Address - Country:US
Practice Address - Phone:727-384-5088
Practice Address - Fax:727-384-8112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6163160001Medicare NSC
K2045Medicare ID - Type Unspecified