# ORTHO FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHO FLORIDA, LLC
- **Other names:** Florida Bone and Joint Specialists
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639615180
- **Legal business name:** ORTHO FLORIDA, LLC
- **Authorized official:** DANE TRASK (COO)
- **Authorized official phone:** (813) 787-1128

## Contact information

- **Practice address:** 1040 GULF BREEZE PKWY, STE 200, GULF BREEZE, FL 32561-7809
- **Practice address phone:** (850) 916-3700
- **Mailing address:** 751 PARK OF COMMERCE DR, STE 112, BOCA RATON, FL 33487-3626
- **Mailing address phone:** (561) 300-1792

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2017
- **Last updated:** 01/10/2017