Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Pain Care Specialist of FL
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
4350 SHERIDAN ST, STE 102, HOLLYWOOD, FL 33021-3556
(954) 322-8586
Mailing address
660 GLADES ROAD, STE 460, BOCA RATON, FL 33431-6465
(561) 300-1774
(561) 300-1874
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
09/23/2015
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