ORTHO FLORIDA, LLC (NPI# 1073058855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073058855 |
| Entity Type | Organization |
| Organization Name | ORTHO FLORIDA, LLC |
| Other Organization Name | FLORIDA SPINE ASSOCIATES |
| Practice Address |
5162 Linton Blvd Ste 203 Delray Beach FL 33484-6567 |
| Mailing Address |
751 Park of Commerce Dr Ste 112 Boca Raton FL 33487-3626 |
| Practice Telephone | 5614959511 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | DANE TRASK (COO) |
| Authorized Official Telephone | 8137871128 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHO FLORIDA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Florida Spine Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
| 1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
| 1194383638 | Ortho Florida, LLC | Orthopaedic Surgery | 8190 S Jog Rd Ste 101, Boynton Beach, FL 33472-2911 | 2019-05-30 |
| 1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
| 1154803963 | Ortho Florida, LLC | Orthopaedic Surgery | 9400 University Pkwy Ste 101b, Pensacola, FL 32514-5485 | 2018-08-29 |
| 1235619727 | Ortho Florida, LLC | Orthopaedic Surgery | 4900 Bayou Blvd Ste 107, Pensacola, FL 32503-2543 | 2018-08-15 |
| 1891289377 | Ortho Florida, LLC | Orthopaedic Surgery | 5130 Linton Blvd Ste B2, Delray Beach, FL 33484-6595 | 2018-06-19 |
| 1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
| Street Address |
5162 LINTON BLVD STE 203 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-6567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708341 | Bruce James Holtzman | Podiatrist | 5162 Linton Blvd, Ste 206, Delray Beach, FL 33484-6567 | 2005-05-31 |
| 1225637655 | Hali Faustin | Nurse Practitioner | 5162 Linton Blvd, Delray Beach, FL 33484-6567 | 2020-10-17 |
| 1174064158 | Brilliant Dermatology and Aesthetics, Pllc | Dermatology | 5162 Linton Blvd, Suite 203, Delray Beach, FL 33484-6567 | 2017-03-10 |
| 1588916290 | Onesource Health Care Inc | Podiatrist | 5162 Linton Blvd, Suite 206, Delray Beach, FL 33484-6567 | 2012-10-04 |
| 1255632865 | F. Lurie, M.d., P.a. | Family Medicine | 5162 Linton Blvd, Suite 103, Delray Beach, FL 33484-6567 | 2010-11-12 |
| 1538302195 | Elissa S Norton | Dermatology | 5162 Linton Blvd, Suite 203, Delray Beach, FL 33484-6567 | 2009-04-13 |
| 1710141924 | Shanna Lurie Dds Pa | Clinic/Center | 5162 Linton Blvd, Suite 104, Delray Beach, FL 33484-6567 | 2008-07-16 |
| 1982877916 | Scott Luttge, M.d., P.a. | Urology | 5162 Linton Blvd, Suite 202, Delray Beach, FL 33484-6567 | 2008-04-10 |
| 1518136662 | Malli Kamireddy M D P A | Internal Medicine | 5162 Linton Blvd, Suite 106, Delray Beach, FL 33484-6567 | 2008-02-22 |
| 1881882892 | David L Schwartzfarb | Ophthalmology | 5162 Linton Blvd, 203, Delray Beach, FL 33484-6567 | 2007-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640852 | Mark Steven Eskenazi | Orthopaedic Surgery | 5210 Linton Blvd, 103, Delray Beach, FL 33484-6542 | 2005-06-21 |
| 1699131995 | Florida Orthocare Network, LLC | Orthopaedic Surgery | 4723 W Atlantic Ave Ste 19, Delray Beach, FL 33445-3865 | 2016-01-04 |
| 1700970126 | Spine Institute of South Florida Pa | Orthopaedic Surgery | 5210 Linton Blvd, Suite 103, Delray Beach, FL 33484-6542 | 2006-10-02 |
| 1376572032 | Edward Hyun Chung | Orthopaedic Surgery | 5210 Linton Blvd, Suite 103, Delray Beach, FL 33484-6542 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293215 | Citrus Spine Institute LLC | Orthopaedic Surgery | 1409 Kingsley Ave Ste 9f, Orange Park, FL 32073-4579 | 2019-09-04 |
| 1194383638 | Ortho Florida, LLC | Orthopaedic Surgery | 8190 S Jog Rd Ste 101, Boynton Beach, FL 33472-2911 | 2019-05-30 |
| 1821571175 | Orthopedic Spine Solutions Corp | Orthopaedic Surgery | 3852 Sheridan St, Hollywood, FL 33021-3634 | 2018-09-12 |
| 1194223461 | Select Health of Fl, LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760a, Miami, FL 33131-1815 | 2018-01-31 |
| 1568960839 | Spine Cin of Jacksonville LLC | Orthopaedic Surgery | 1301 Riverplace Blvd Ste 800a, Jacksonville, FL 32207-9047 | 2018-01-31 |
| 1912405283 | Spine Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301a, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1386142644 | Joint Replacement Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301b, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1366940140 | Joint Replacement Cin of Orlando LLC | Orthopaedic Surgery | 5401 S Kirkman Rd Ste 310b, Orlando, FL 32819-7940 | 2018-01-26 |
| 1811495690 | Joint Replacement Cin of Miami LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760b, Miami, FL 33131-1815 | 2018-01-26 |
| 1689182362 | Fss Keys LLC | Orthopaedic Surgery | 1111 12th St Ste 108, Key West, FL 33040-4087 | 2018-01-17 |
| Find all providers with the same taxonomy | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.