Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
360 Orthopedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
DANE TRASK (CEO)
(813) 747-1128
Entity
Organization
Contact information
Practice address
5504 PINEBROOK RD STE 201, NOKOMIS, FL 34275-3745
(941) 951-2663
Mailing address
660 GLADES RD STE 460, BOCA RATON, FL 33431-6469
(561) 300-1792
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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