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Organization
ORTHO FLORIDA LLC
Active
Organization
ORTHO FLORIDA LLC
Active
Other names
Ft Lauderdale Ortho and Sports Medicine, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANE TRASK (CEO)
(813) 787-1128
Entity
Organization
Contact information
Practice address
1414 SE 3RD AVE, FORT LAUDERDALE, FL 33316-1910
(954) 764-8033
(954) 764-5522
Mailing address
1414 SE 3RD AVE, FORT LAUDERDALE, FL 33316-1910
(954) 764-8033
(954) 764-5522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
FL
Other
Enumeration date
09/12/2005
Last updated
01/20/2016
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