Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ortho Florida, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1124779665

Ortho Florida, LLC is a Foot & Ankle Surgery Podiatrist in Orlando, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 Park Lake St
Orlando, FL 32803-3822
Phone: (407) 423-9401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1124779665
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOrtho Florida, LLC
Authorized official Dane Trask — Ceo · (813) 747-1128
Other names Advanced Podiatry Group
NPI enumeratedJanuary 17, 2022
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 17, 2022
Mailing address433 Plaza Real Ste 275, Boca Raton, FL 33432-3999

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