Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Ortho Miami
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
3905 NW 107TH AVE STE 403, DORAL, FL 33178-2785
(305) 596-2828
Mailing address
PO BOX 978766, DALLAS, TX 75397-8766
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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