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Organization

ORTHO FLORIDA, LLC

Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Florida Bone and Joint Specialists
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
1040 GULF BREEZE PKWY, STE 209, GULF BREEZE, FL 32561-7809
(850) 916-3700
Mailing address
751 PARK OF COMMERCE DR, BOCA RATON, FL 33487-3626
(561) 300-1792

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary

Other

Enumeration date
01/20/2017
Last updated
01/23/2017
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