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Organization

ORTHO FLORIDA, LLC

Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Advanced Orthopedic and Sports Medicine Institute
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
21097 NE 27TH CT STE 590, AVENTURA, FL 33180-1246
(561) 300-1792
Mailing address
751 PARK OF COMMERCE DR STE 112, BOCA RATON, FL 33487-3622

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary

Other

Enumeration date
04/03/2019
Last updated
04/03/2019
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