Ortho Florida, LLC
Orthopaedic Surgery in Atlantis, FL. Organization (NPI-2).
NPI number1740928548
StatusActive
Last updated in NPPESMay 23, 2022
Details
- NPI
- 1740928548
- Entity type
- Organization (NPI-2)
- Legal business name
- Ortho Florida, LLC
- Organization subpart
- Yes
- Enumeration date
- May 23, 2022
- Certification date
- May 23, 2022
- Last updated
- May 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | – | – | |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | – | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – |
Other names
- Florida Spine Associates (Doing Business As)
Practice location
160 John F Kennedy Dr Ste 204Atlantis, FL 33462-6633
Phone 561-495-9511
Mailing address
433 Plaza Real Ste 275Boca Raton, FL 33432-3999
Phone 561-300-1792
Authorized official
Dane Trask
Ceo
8137471128
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