Ortho Florida LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHO FLORIDA LLC

Practice address

1414 SE 3Rd Ave
Fort Lauderdale, FL 33316-1910

Phone

(954) 764-8033

Fax

(954) 764-5522

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dane Trask

Title

Ceo

Phone

(813) 787-1128

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ft Lauderdale Ortho and Sports Medicine, LLC Doing business as

Member of 1

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

• Ortho Florida, LLC

  • Orthopaedic Surgery Physician
  • Plantation, FL
  • NPI 1609493816

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel A Sheldon, M.D.

  • Orthopaedic Surgery Physician
  • Pembroke Pines, FL
  • NPI 1225034341
  NPD (past)
• Kevin B Shrock, M.D.

  • Orthopaedic Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1154327260
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1487649935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 SE 3RD AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161910",
            "telephone_number": "954-764-8033",
            "fax_number": "954-764-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SE 3RD AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161910",
            "telephone_number": "954-764-8033",
            "fax_number": "954-764-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2016-01-20",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375852400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN7775",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft Lauderdale Ortho and Sports Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayline Marie Orta-Rivera
• Jose L Orta, DC
• Clexida Ortega
• Hilary E Ortega, PMHNP-BC
• Ortho Flex Medical, LLC
• Ortho Florida, LLC
• Ortho Florida, LLC
• Ortho Florida, LLC
• Ortho Florida, LLC
• Orthopaedic Associates of South Broward,PA

• Orthopaedic Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.