Active NPI
Ortho Florida, LLC
- Orthopaedic Hand Surgery Physician
- South Miami, FL
National Provider Identifier
1386479632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- Legal business name
- ORTHO FLORIDA, LLC
- Practice address
- 6262 Sunset Dr Ste 301
South Miami, FL 33143-4843 - Phone
- (305) 209-5522
- NPI assigned
- Sep 5, 2024
- 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
- Dane Trask
- Title
- Of Ceo
- Phone
- (813) 787-1128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | Primary |
Addresses
Primary practice location
6262 Sunset Dr Ste 301
South Miami, FL 33143-4843
Mailing address
PO Box 978766
Dallas, TX 75397-8766
Phone (561) 300-1787
Other names 1
- Fort Orthopedic Hand Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250318003708 | FL | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 3274616453 | Practice locations: South Miami, FL |
Other NPIs with the same Medicare PAC ID 20
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Sports Medicine (Emergency Medicine) Physician
- South Miami, FL
- NPI 1023539574
3274616453
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Miami, FL
- NPI 1023575834
3274616453
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Aventura, FL
- NPI 1164984720
3274616453
-
- Sports Medicine (Orthopaedic Surgery) Physician
- North Miami, FL
- NPI 1407494222
3274616453
National Provider Directory
National Provider Directory- Tax ID family
- Ortho Florida LLC
- Part of
- Ortho Florida LLC
Other organizations with this tax ID 45
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Hialeah, FL
- NPI 1649516717
-
- Orthopaedic Surgery Physician
- Coconut Creek, FL
- NPI 1689949224
-
- Orthopaedic Surgery Physician
- Boca Raton, FL
- NPI 1730455130
-
- Orthopaedic Surgery Physician
- Nokomis, FL
- NPI 1013602283
-
- Sports Medicine (Emergency Medicine) Physician
- South Miami, FL
- NPI 1023539574
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Miami, FL
- NPI 1023575834
-
- Foot & Ankle Surgery Podiatrist
- Orlando, FL
- NPI 1124779665
-
- Orthopaedic Surgery Physician
- Pensacola, FL
- NPI 1154803963
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Aventura, FL
- NPI 1164984720
-
- Podiatrist
- Jupiter, FL
- NPI 1174289045
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Homestead, FL
- NPI 1174394241
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Delray Beach, FL
- NPI 1184292575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1386479632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 978766",
"city": "DALLAS",
"state": "TX",
"postal_code": "753978766",
"telephone_number": "561-300-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 SUNSET DR STE 301",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434843",
"telephone_number": "305-209-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHO FLORIDA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHO FLORIDA, LLC",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "TRASK",
"authorized_official_first_name": "DANE",
"authorized_official_title_or_position": "OF CEO",
"authorized_official_telephone_number": "813-787-1128"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fort Orthopedic Hand Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.