ORTHO FLORIDA, LLC (NPI# 1700323367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700323367 |
| Entity Type | Organization |
| Organization Name | ORTHO FLORIDA, LLC |
| Other Organization Name | FLORIDA BONE AND JOINT SPECIALISTS |
| Practice Address |
1040 Gulf Breeze Pkwy Ste 209 Gulf Breeze FL 32561-7809 |
| Mailing Address |
751 Park of Commerce Dr Boca Raton FL 33487-3626 |
| Practice Telephone | 8509163700 |
| Mailing Telephone | 5613001792 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-23 |
| 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 |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Florida Bone and Joint Specialists | 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 |
1040 GULF BREEZE PKWY STE 209 |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506723 | Steve E Jordan | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2005-05-24 |
| 1184232696 | Mary Catherine Ray | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-07-21 |
| 1740805902 | Ginger Christina Bogan | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-06-13 |
| 1528682119 | Charles Alan Ray | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-05-30 |
| 1730666850 | Amanda Nystrom | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 | 2018-07-21 |
| 1043735285 | Matt Creamer | Physical Medicine & Rehabilitation | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2017-08-09 |
| 1639615180 | Ortho Florida, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Ste 200, Gulf Breeze, FL 32561-7809 | 2017-01-09 |
| 1386095404 | Matthew Mcgraw | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Suite 101, Gulf Breeze, FL 32561-7809 | 2016-06-30 |
| 1760845911 | Angela Marie Pectol | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2016-04-04 |
| 1245693142 | Adam Arthur Long | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Suite 203, Gulf Breeze, FL 32561-7809 | 2016-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| Find all providers in zip 32561 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477108066 | Consulting Hidden Springs, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy Ste 200, Gulf Breeze, FL 32561-7808 | 2019-08-09 |
| 1811250640 | Coleman Orthopaedic LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2012-06-18 |
| 1306052527 | Alexander Chisolm Coleman | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467943787 | Center for Bone & Joint Surgery of The Palm Beaches, P.a. | Orthopaedic Surgery | 582 Nw University Blvd Ste 100, Port St Lucie, FL 34986-2264 | 2018-05-22 |
| 1851630057 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4551-a North Davis Hwy, Pensacola, FL 32503-2782 | 2013-02-07 |
| 1376808188 | Sonya Khurana | Orthopaedic Surgery | 1150 Campo Sano Ave Fl 1, Coral Gables, FL 33146-1174 | 2012-07-08 |
| 1962766576 | Sarasota Orthopedic Associates, LLC | Orthopaedic Surgery | 6230 University Pkwy, Suite 203, Lakewood Ranch, FL 34240-8604 | 2012-06-28 |
| 1194091488 | Giacomo Luis Cappelleti | Orthopaedic Surgery | 8905 Sw 87th Ave Ste 100, Miami, FL 33176-2210 | 2012-03-30 |
| 1053681791 | Kathryn Anne Henderson Heim | Orthopaedic Surgery | 2850 N Federal Hwy, 2nd Floor, Lighthouse Point, FL 33064 | 2012-01-11 |
| 1720378144 | Orthopaedic Associates Usa, Pa | Orthopaedic Surgery | 4765 Sw 148th Avenue, Suite 401, Davie, FL 33330-2128 | 2011-04-19 |
| 1861781239 | Karan A Desai | Orthopaedic Surgery | 17000 Porter Rd Ste 205, Winter Garden, FL 34787-8915 | 2011-04-06 |
| 1598085961 | Ajul Shah | Orthopaedic Surgery | 603 7th St S Ste 440, Saint Petersburg, FL 33701 | 2010-06-08 |
| 1538484985 | The Ouellette Group Physicians for The Hand, P.l. | Orthopaedic Surgery | 7445 Sw 127th St, Miami, FL 33156-5337 | 2010-03-29 |
| Find all providers with the same taxonomy | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
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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.