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Organization

ORTHO FLORIDA, LLC

Active
Parent organization
ORTHO FLORIDA, LLC
Other names
OrthoKagan Orthopedic Neurospine Institute
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
3210 CLEVELAND AVE STE 100, FORT MYERS, FL 33901-7182
(239) 936-6778
Mailing address
PO BOX 978766, DALLAS, TX 75397-8766
(561) 300-1787

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
213ES0000X
Sports Medicine Podiatrist
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
05/13/2026
Last updated
05/13/2026
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