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Organization

ORTHO FLORIDA, LLC

Active
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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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