1. Home
  2. Directory
  3. Florida
  4. Ocoee
  5. Orthopaedic Surgery
  6. NPI Profile

ORTHO FLORIDA, LLC
NPI 1083274450
Orthopaedic Surgery - Sports Medicine in Ocoee, FL

Active since June 18, 2019
801 MARSHALL FARMS RD, OCOEE, FL 34761(407) 906-3621 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ortho Florida, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHO FLORIDA, LLC (NPI 1083274450), doing business as Provident Orthopedic & Sports Medicine Center, is a healthcare organization registered as a sports medicine in Ocoee, Florida and active in the NPI registry since June 2019. The organization lists Dane Trask, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083274450
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameORTHO FLORIDA, LLC
Location Address801 MARSHALL FARMS RDOcoee, FL 34761-3316
Mailing Address751 Park Of Commerce Dr Ste 112Boca Raton, FL 33487-3622
Phone(407) 906-3621
Organization SubpartYes
Authorized OfficialDane TraskCeo · (813) 787-1128
Enumeration DateJune 18, 2019
✔ NPI 1083274450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
801 MARSHALL FARMS RD, Ocoee, FL 34761
Open in Google Maps ↗

Other Names 1

Doing Business AsProvident Orthopedic & Sports Medicine Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL F SHULER MD
Orthopaedic Surgery
801 MARSHALL FARMS RD
OCOEE, FL 34761
Orange County (407) 906-3621
DR. WILLIAM LOUIS MILLS JR. M.D.
Family Medicine
801 MARSHALL FARMS RD
OCOEE, FL 34761
Orange County (407) 877-6280
MRS. JESSICA GISELLE MEJIAS ARNP, FNP-BC
Nurse Practitioner (Family)
801 MARSHALL FARMS RD
OCOEE, FL 34761
Orange County (407) 877-6280
WILLIAM L MILLS, JR, MD
Family Medicine
801 MARSHALL FARMS RD
OCOEE, FL 34761
Orange County (407) 877-6280
PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER
Orthopaedic Surgery
801 MARSHALL FARMS RD
OCOEE, FL 34761
Orange County (407) 906-3621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ortho Florida, LLC's NPI number?

The NPI number for Ortho Florida, LLC is 1083274450. It was assigned to this organization in the NPPES registry on June 18, 2019. The provider is doing business as Provident Orthopedic & Sports Medicine Center.

Where is Ortho Florida, LLC located?

Ortho Florida, LLC is located at 801 Marshall Farms Rd, Ocoee, FL 34761. The listed phone number is (407) 906-3621.

What is Ortho Florida, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Ortho Florida, LLC was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.