OrganizationActive
Advanced Orthopaedics and Sports Medicine, LLC
NPI 1467638312 · Sports Medicine (Orthopaedic Surgery) Physician · South Portland, ME
Provider details
- NPI number
- 1467638312
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- F. Lincoln Avery, Chief Administrator
- License
- 012274 (ME)
Practice location
100 Foden Rd
Suite 307
South Portland, ME 04106-2327
Phone: (207) 332-5462
Fax: (207) 774-6501
Mailing address
100 Brickhill Ave
South Portland, ME 04106-1999
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2011-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.