# ORTHO FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHO FLORIDA, LLC
- **Other names:** 360 Orthopedics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801538418
- **Legal business name:** ORTHO FLORIDA, LLC
- **Authorized official:** DANE TRASK (OF CEO)
- **Authorized official phone:** (813) 747-1128

## Contact information

- **Practice address:** 5985 SILVER FALLS RUN, LAKEWOOD RANCH, FL 34211-1290
- **Practice address phone:** (941) 951-2663
- **Mailing address:** 433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
- **Mailing address phone:** (561) 300-1792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 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 | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 04/13/2022
- **Last updated:** 04/13/2022