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 1881095479

Ortho Florida, LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Boca Raton, Florida. Registered with an NPI since 2014.

In the registry since
2014
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

4705 N Federal Hwy
Boca Raton, FL 33431-4953
Phone: (561) 405-9610
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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 number1881095479
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOrtho Florida, LLC
Authorized official Dane Trask — Coo · (813) 787-1128
Other names J Provo, Md
NPI enumeratedSeptember 15, 2014
Last updated in NPPESOctober 2, 2015
Mailing address751 Park Of Commerce Dr, Ste 112, Boca Raton, FL 33487-3626

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