# ORTHO FLORIDA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205514114
- **Legal business name:** ORTHO FLORIDA, LLC
- **Authorized official:** DANE TRASK (CEO)
- **Authorized official phone:** (813) 787-1128

## Contact information

- **Practice address:** 5741 BEE RIDGE RD STE 450, SARASOTA, FL 34233-5081
- **Practice address phone:** (941) 951-2663
- **Mailing address:** 660 GLADES RD STE 460, BOCA RATON, FL 33431-6469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | — |
| 213ES0000X | Sports Medicine Podiatrist | — | — | — |

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 07/10/2023