Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Boca Raton Orthopaedic Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
DANE TRASK (CEO)
(813) 787-1128
Entity
Organization
Contact information
Practice address
8198 S JOG RD STE 100, BOYNTON BEACH, FL 33472-2998
(561) 391-5515
Mailing address
751 PARK OF COMMERCE DR STE 112, BOCA RATON, FL 33487-3622
(561) 215-2348
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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