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General NPI Number Information
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NPI Number | 1528621620
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Entity Type | Organization
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Legal Business Name | AMEGLIO ORTHOPEDICS LLC
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 6839 PORTO FINO CIR
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City | FORT MYERS
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State | FL
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Zip | 33912-4361
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Country | US
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Telephone | 239-990-8138
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Fax | 239-237-3180
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Provider Business Mailing Address
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Address Line | 6839 PORTO FINO CIR
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City | FORT MYERS
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State | FL
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Zip | 33912-4361
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Country | US
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Telephone | 239-990-8138
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Fax | 239-237-3180
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER AMEGLIO
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Credential | MD
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Telephone | 239-990-8138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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