Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Elite Sports Medicine
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
1100 SW SAINT LUCIE WEST BLVD STE 105, PORT ST LUCIE, FL 34986-1779
(561) 202-8886
Mailing address
PO BOX 978766, DALLAS, TX 75397-8766
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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