# ORTHO FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHO FLORIDA, LLC
- **Other names:** Advanced Podiatry Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124779665
- **Legal business name:** ORTHO FLORIDA, LLC
- **Authorized official:** DANE TRASK (CEO)
- **Authorized official phone:** (813) 747-1128

## Contact information

- **Practice address:** 114 PARK LAKE ST, ORLANDO, FL 32803-3822
- **Practice address phone:** (407) 423-9401
- **Mailing address:** 433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
- **Mailing address phone:** (561) 300-1792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2022
- **Last updated:** 01/17/2022