Organization Active NPI

Aventura Ortho & Sports Med, LLC

  • Orthopaedic Surgery Physician
  • North Miami, FL
National Provider Identifier
1124395553
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME86710 Issued in FL
Legal business name
AVENTURA ORTHO & SPORTS MED, LLC
Practice address
2260 NE 123Rd Street
North Miami, FL 33181-2904
Phone
(786) 923-3000
Fax
(786) 923-3002
NPI assigned
Nov 30, 2011
Organization subpart
Yes
Parent organization
ORTHO FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Mr. Dane Trask
Title
Coo
Phone
(813) 787-1128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME86710 FL Primary

Addresses

Primary practice location

2260 NE 123Rd Street
North Miami, FL 33181-2904

Mailing address

660 Glades Rd
Boca Raton, FL 33431-6465
Phone (561) 300-1779

National Provider Directory

National Provider Directory
Part of
Ortho Florida LLC

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1124395553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316465",
            "telephone_number": "561-300-1779",
            "fax_number": "561-300-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 NE 123RD STREET",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812904",
            "telephone_number": "786-923-3000",
            "fax_number": "786-923-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA ORTHO & SPORTS MED, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO FLORIDA, LLC",
        "enumeration_date": "2011-11-30",
        "last_updated": "2015-04-23",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME86710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.