# ORTHO FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ft Lauderdale Ortho and Sports Medicine, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487649935
- **Authorized official:** MR. DANE TRASK (CEO)
- **Authorized official phone:** (813) 787-1128

## Contact information

- **Practice address:** 1414 SE 3RD AVE, FORT LAUDERDALE, FL 33316-1910
- **Practice address phone:** (954) 764-8033
- **Practice address fax:** (954) 764-5522
- **Mailing address:** 1414 SE 3RD AVE, FORT LAUDERDALE, FL 33316-1910
- **Mailing address phone:** (954) 764-8033
- **Mailing address fax:** (954) 764-5522

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 01/20/2016