Ortho Florida, LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ORTHO FLORIDA, LLC

Doing business as

Boca Raton Orthopaedic Group

Practice address

8198 S Jog Rd Ste 100
Boynton Beach, FL 33472-2998

Phone

(561) 391-5515

NPI assigned

Oct 8, 2020

Last updated

Oct 8, 2020By 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

Ceo

Phone

(813) 787-1128

Specialties & licenses 4

Addresses

Other names 1

• Boca Raton Orthopaedic Group Doing business as

Part of

Ortho Florida LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ortho Florida, LLC

  dba Ultimate Orthopedics

  • Orthopaedic Surgery Physician
  • Miramar, FL
  • NPI 1710566807

  Member Of

  NPD member

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1447857834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 PARK OF COMMERCE DR STE 112",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873622",
            "telephone_number": "561-215-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 S JOG RD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722998",
            "telephone_number": "561-391-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO FLORIDA, LLC",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "TRASK",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-787-1128"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Raton Orthopaedic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelyn Delfina Orr
• Jazzmine Orr
• Marianela Ortega Borroto
• Selinda Ortega, COTA/L
• Ortho Florida, LLC (Florida Spine Associates)
• Ortho Florida, LLC (Florida Spine Associates)
• Ortho Florida, LLC (Palm Beach Spine and Pain Institute)
• Orthopaedic Center of Boynton Beach PA
• Orthopaedic Surgery Associates PA
• Orthopaedic Surgery Associates, PA

• Sports Medicine (Orthopaedic Surgery) Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.