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

Ortho Florida, LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1356139000

Ortho Florida, LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Port St Lucie, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

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

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 number1356139000
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOrtho Florida, LLC
Authorized official Dane Trask — Of Ceo · (813) 787-1128
Other names Elite Sports Medicine
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing addressPo Box 978766, Dallas, TX 75397-8766

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