MEDICARE: AMEGLIO ORTHOPEDICS LLC

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

General Provider Information

NPI Number	:	1528621620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMEGLIO ORTHOPEDICS LLC

Provider Business Mailing Address
First Line	:	6839 PORTO FINO CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4361
Country	:	US
Telephone Number	:	239-990-8138
Fax Number	:	239-237-3180

Provider Business Practice Location Address
First Line	:	6839 PORTO FINO CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4361
Country	:	US
Telephone Number	:	239-990-8138
Fax Number	:	239-237-3180

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PETER AMEGLIO
Credential	:	MD
Telephone Number	:	239-990-8138

Provider Enumeration Date	:	04/15/2019
Last Update Date	:	08/18/2022

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