Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Florida Spine Associates
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
8190 S JOG RD STE 101, BOYNTON BEACH, FL 33472-2911
(561) 495-9511
Mailing address
751 PARK OF COMMERCE DR STE 112, BOCA RATON, FL 33487-3622
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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