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Organization

ORTHO FLORIDA, LLC

Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Florida Bone and Joint Specialist
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
DANE TRASK (CEO)
(813) 787-1128
Entity
Organization

Contact information

Practice address
9400 UNIVERSITY PKWY STE 101B, PENSACOLA, FL 32514-5485
(850) 435-4800
Mailing address
751 PARK OF COMMERCE DR STE 112, BOCA RATON, FL 33487-3622
(561) 215-2348

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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