Organization
AVENTURA ORTHO & SPORTS MED, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
MR. DANE TRASK (COO)
(813) 787-1128
Entity
Organization
Contact information
Practice address
2260 NE 123RD STREET, NORTH MIAMI, FL 33181-2904
(786) 923-3000
(786) 923-3002
Mailing address
660 GLADES RD, BOCA RATON, FL 33431-6465
(561) 300-1779
(561) 300-1879
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME86710
FL
Other
Enumeration date
11/30/2011
Last updated
04/23/2015
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