MEDICARE: ADVANCED ORTHOPAEDICS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME0054695	FL
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO-0002641	FL
3	261QM1300X	Multi-Specialty Clinic/Center
4	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME0054695	FL

General Provider Information

NPI Number	:	1205847456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED ORTHOPAEDICS INC

Provider Business Mailing Address
First Line	:	3500 PRINCETON DR
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-9353
Country	:	US
Telephone Number	:	561-939-6325
Fax Number	:	561-899-0460

Provider Business Practice Location Address
First Line	:	7138 LAKE WORTH RD STE C
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2970
Country	:	US
Telephone Number	:	561-939-6325
Fax Number	:	561-899-0460

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MERRILL W REUTER
Credential	:	MD
Telephone Number	:	561-939-6325

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/21/2022

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