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Organization
ORTHO FLORIDA, LLC
Active
Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Advanced Podiatry Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
DANE TRASK (CEO)
(813) 747-1128
Entity
Organization
Contact information
Practice address
114 PARK LAKE ST, ORLANDO, FL 32803-3822
(407) 423-9401
Mailing address
433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
(561) 300-1792
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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