Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Florida Spine Associates, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
DANE TRASK (COO)
(813) 787-1128
Entity
Organization
Contact information
Practice address
670 GLADES RD, STE 200, BOCA RATON, FL 33431-6461
(561) 495-9511
Mailing address
751 PARK OF COMMERCE DR, STE 112, BOCA RATON, FL 33487-3626
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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