J Provo, Md

LBN: Ortho Florida, Llc
J Provo, Md is an health care organization with primary practice located at 4705 N Federal Hwy , Boca Raton FL 33431-4953. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Ortho Florida, Llc can be contacted via phone (561) 405-9610, or through Trask, Dane via phone (813) 787-1128.

Contact Information

Primary practice address
4705 N Federal Hwy Boca Raton FL 33431-4953
Phone: (561) 405-9610
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Trask, Dane
Phone: (813) 787-1128

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1881095479
LBN Legal business name Ortho Florida, Llc
DBA Doing business as J Provo, Md
Authorized official Trask, Dane
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 15th, 2014
Last updated Oct 2nd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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