Ortho Florida, LLC

NPI #1639615180 in Gulf Breeze, Florida

Provider Information

NPI Number: 1639615180
Entity Type: Organization
Organization Name: Ortho Florida, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ORTHO FLORIDA, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jan 9, 2017
Last Updated: Jan 10, 2017

Practice Location

Address: 1040 GULF BREEZE PKWY
Address 2: STE 200
City: Gulf Breeze
State: Florida
ZIP Code: 32561-7809
Phone: (850) 916-3700

Authorized Official

Name: DANE TRASK
Title: COO
Phone: (813) 787-1128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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