NPIMap

Organization Active NPI

Ortho Florida, LLC

Doing business as Elite Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Jupiter, FL
National Provider Identifier
1518755255
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHO FLORIDA, LLC
Doing business as
Elite Sports Medicine
Practice address
108 Intracoastal Pointe Dr Ste 200
Jupiter, FL 33477-5036
Phone
(561) 202-8886
NPI assigned
Apr 30, 2025
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHO FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary

Addresses

Primary practice location

108 Intracoastal Pointe Dr Ste 200
Jupiter, FL 33477-5036

Mailing address

PO Box 978766
Dallas, TX 75397-8766
Phone (561) 300-1787

Other practice location 1

1100 SW Saint Lucie West Blvd Ste 105
Port St Lucie, FL 34986-1779
Phone (561) 202-8886

Other names 1

  • Elite Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ortho Florida LLC46 organizations share this tax ID, including this one
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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1518755255",
    "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": "108 INTRACOASTAL POINTE DR STE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775036",
            "telephone_number": "561-202-8886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 SW Saint Lucie West Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349861779",
            "country_code": "US",
            "telephone_number": "561-202-8886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHO FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO FLORIDA, LLC",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "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": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.