| NPI | 1487649935 |
|---|---|
| Doing Business As | FT LAUDERDALE ORTHO AND SPORTS MEDICINE, LLC |
| Entity Type | Organization |
| Authorized Contact | DANE TRASK CEO 813-787-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2016-01-20 |