Provider Demographics
NPI:1285810838
Name:ADVANCED ORTHOPEDICS AND PAIN MANAGEMENT, P.L.
Entity type:Organization
Organization Name:ADVANCED ORTHOPEDICS AND PAIN MANAGEMENT, P.L.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:KATZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-775-2763
Mailing Address - Street 1:3355 BURNS RD. STE #304
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4322
Mailing Address - Country:US
Mailing Address - Phone:561-775-2763
Mailing Address - Fax:561-630-1613
Practice Address - Street 1:3355 BURNS RD. STE #304
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4322
Practice Address - Country:US
Practice Address - Phone:561-775-2763
Practice Address - Fax:561-630-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65564207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6223370001Medicare NSC