| NPI | 1205514114 |
|---|---|
| Doing Business As | 360 ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | DANE TRASK CEO 813-787-1128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |