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Organization

ORTHO FLORIDA, LLC

Active
Parent organization
ORTHO FLORIDA, LLC
Other names
TOC Sport and Regenerative Medicine, LLC
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
10794 PINES BLVD STE 102-104, PEMBROKE PINES, FL 33026-3920
(954) 735-3535
Mailing address
PO BOX 978766, DALLAS, TX 75397-8766
(561) 300-1787

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
04/14/2026
Last updated
04/14/2026
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