Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Institute of Regenerative Orthopedics & Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
DANE TRASK (CEO)
(813) 747-1128
Entity
Organization
Contact information
Practice address
3333 W COMMERCIAL BLVD STE 101, FORT LAUDERDALE, FL 33309-3424
(954) 751-6990
Mailing address
433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
(561) 300-1792
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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