Ortho Florida, LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

ORTHO FLORIDA, LLC

Doing business as

Florida Spine Associates

Practice address

5162 Linton Blvd
Ste 203
Delray Beach, FL 33484-6567

Phone

(561) 495-9511

NPI assigned

Jan 3, 2017

Last updated

Jan 3, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHO FLORIDA, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dane Trask

Title

Coo

Phone

(813) 787-1128

Specialties & licenses 3

Addresses

Other names 1

• Florida Spine Associates Doing business as

Part of

Ortho Florida LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1073058855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 PARK OF COMMERCE DR",
            "address_2": "STE 112",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD",
            "address_2": "STE 203",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-495-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO FLORIDA, LLC",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "TRASK",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-787-1128"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Spine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Orchard, MS, CCC-SLP
• Anthony Orellana, APRN
• Bianca Orfanos
• Orion Counseling LLC
• Regina Orne
• Ortho Florida, LLC (Tyrance Orthopedics & Sports Medicine)
• Ortho Florida, LLC (Delray Orthopaedic Center)
• Ortho Florida, LLC (Delray Orthopaedic Center)
• Ortho Florida, LLC (Delray Orthopaedic Center)
• Ortho Florida, LLC (Florida Spine Associates)

• Orthopaedic Surgery of the Spine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.