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) 787-1128
Entity
Organization
Contact information
Practice address
5741 BEE RIDGE RD STE 450, SARASOTA, FL 34233-5081
(941) 951-2663
Mailing address
660 GLADES RD STE 460, BOCA RATON, FL 33431-6469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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