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NPI Code Detail

MEDICARE: ORTHO FLORIDA LLC

MEDICARE: ORTHO FLORIDA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianFL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CN7775OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487649935
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHO FLORIDA LLC
Provider Business Mailing Address
First Line : 1414 SE 3RD AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-1910
Country : US
Telephone Number : 954-764-8033
Fax Number : 954-764-5522
Provider Business Practice Location Address
First Line : 1414 SE 3RD AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-1910
Country : US
Telephone Number : 954-764-8033
Fax Number : 954-764-5522
Authorized Official
Title or Position : CEO
Name : MR. DANE TRASK
Credential :
Telephone Number : 813-787-1128
Provider Enumeration Date : 09/12/2005
Last Update Date : 01/20/2016

Similar Medicare Providers

1972509941 — DR. RICHARD D GOLDSTEIN M.D.
Practice Location Address:
1414 SE 3RD AVE
FORT LAUDERDALE, FL
33316-1910
Practice Phone: 954-764-8033
Practice Fax: 954-764-5522
1639160955 — DR. MATTHEW E WELLS M.D.
Practice Location Address:
1414 SE 3RD AVE
FORT LAUDERDALE, FL
33316-1910
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1285729962 — MS. MARTA E BOSCH RPT
Practice Location Address:
1414 SE 3RD AVE
FORT LAUDERDALE, FL
33316-1910
Practice Phone: 954-764-8033
Practice Fax: 954-764-5522
1265550370 — FRANK J. LOMAGISTRO, M.D.,P.A.
Practice Location Address:
1414 SE 3RD AVE , SUITE 1
FT LAUDERDALE, FL
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Practice Fax:
1710487145 — ORTHOPAEDIC CENTER OF S FLORIDA
Practice Location Address:
1414 SE 3RD AVE
FORT LAUDERDALE, FL
33316-1910
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1114408135 — MARIA EUGENIA MORAN APRN
Practice Location Address:
1414 SE 3RD AVE
FORT LAUDERDALE, FL
33316-1910
Practice Phone: 954-803-9002
Practice Fax: 954-933-2305

Directions to “ORTHO FLORIDA LLC ” Practice Location

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