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Organization
ORTHO FLORIDA, LLC
Active
Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Wells Orthopedic Surgery & Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
DANE TRASK (OF CEO)
(813) 787-1128
Entity
Organization
Contact information
Practice address
1330 SE 4TH AVE STE B, FT LAUDERDALE, FL 33316-1958
(954) 861-5800
Mailing address
PO BOX 978766, DALLAS, TX 75397-8766
(561) 300-1787
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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