Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Orthopedic Specialty Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
DANE TRASK (COO)
(813) 787-1128
Entity
Organization
Contact information
Practice address
5400 N FEDERAL HWY, STE 102, FT LAUDERDALE, FL 33308-3201
(954) 866-9699
Mailing address
751 PARK OF COMMERCE DR, STE 112, BOCA RATON, FL 33487-3626
(561) 447-0361
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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