# ORTHO FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHO FLORIDA, LLC
- **Other names:** Florida Bone and Joint Specialist
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154803963
- **Legal business name:** ORTHO FLORIDA, LLC
- **Authorized official:** DANE TRASK (CEO)
- **Authorized official phone:** (813) 787-1128

## Contact information

- **Practice address:** 9400 UNIVERSITY PKWY STE 101B, PENSACOLA, FL 32514-5485
- **Practice address phone:** (850) 435-4800
- **Mailing address:** 751 PARK OF COMMERCE DR STE 112, BOCA RATON, FL 33487-3622
- **Mailing address phone:** (561) 215-2348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2018
- **Last updated:** 08/29/2018