# ORTHO FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHO FLORIDA, LLC
- **Other names:** 360 Orthopedics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013602283
- **Legal business name:** ORTHO FLORIDA, LLC
- **Authorized official:** DANE TRASK (CEO)
- **Authorized official phone:** (813) 747-1128

## Contact information

- **Practice address:** 5504 PINEBROOK RD STE 201, NOKOMIS, FL 34275-3745
- **Practice address phone:** (941) 951-2663
- **Mailing address:** 660 GLADES RD STE 460, BOCA RATON, FL 33431-6469
- **Mailing address phone:** (561) 300-1792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 04/05/2023
- **Last updated:** 04/05/2023