Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
William J Bonner MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
DANE TRASK (OF CEO)
(813) 787-1128
Entity
Organization
Contact information
Practice address
4960 SW 72ND AVE STE 408, MIAMI, FL 33155-5506
(786) 517-4577
Mailing address
PO BOX 978766, DALLAS, TX 75397-8766
(561) 300-1787
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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