Active NPI
Aventura Ortho & Sports Med, LLC
- Orthopaedic Surgery Physician
- North Miami, FL
National Provider Identifier
1124395553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME86710
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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.