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

Ortho Florida, LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1225541790

Ortho Florida, LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Hollywood, Florida. Registered with an NPI since 2017.

In the registry since
2017
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

3702 Washington St Ste 202
Hollywood, FL 33021-8283
Phone: (954) 964-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1225541790
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOrtho Florida, LLC
Authorized official Dane Trask — Ceo · (813) 787-1128
Other names Johannes V. Blom, M.D.
NPI enumeratedNovember 7, 2017
Last updated in NPPESNovember 7, 2017
Mailing address751 Park Of Commerce Dr Ste 112, Boca Raton, FL 33487-3622

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