Active NPI
Ortho Florida, LLC
- Orthopaedic Foot and Ankle Surgery Physician
- Pensacola, FL
National Provider Identifier
1457897829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- Legal business name
- ORTHO FLORIDA, LLC
- Doing business as
- Florida Bone and Joint Specialists
- Practice address
- 825 E Burgess Rd
Pensacola, FL 32504-7001 - Phone
- (850) 435-4800
- NPI assigned
- Jan 10, 2017
- 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
- Coo
- Phone
- (813) 787-1128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | Primary |
Addresses
Primary practice location
825 E Burgess Rd
Pensacola, FL 32504-7001
Mailing address
PO Box 978766
Dallas, TX 75397-8766
Phone (561) 300-1792
Other names 1
- Florida Bone and Joint Specialists
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": "1484006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578355200000",
"number": "1457897829",
"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": "561-300-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E BURGESS RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047001",
"telephone_number": "850-435-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHO FLORIDA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHO FLORIDA, LLC",
"enumeration_date": "2017-01-10",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"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": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Bone and Joint Specialists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Florida Bone and Joint Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.