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Organization
ORTHO FLORIDA, LLC
Active
Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Florida Spine Associates
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
3319 S STATE ROAD 7 STE 207, WELLINGTON, FL 33449-8146
(561) 495-9511
Mailing address
433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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