J PROVO, MD - NPI 1881095479 - Orthopaedic Surgery in Boca Raton, FL

Q: What is Ortho Florida, LLC's NPI number?

The NPI number for Ortho Florida, LLC is 1881095479. It was assigned to this organization in the NPPES registry on September 15, 2014. The provider is doing business as J Provo, MD.

Q: 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.

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About J Provo, Md NPPES

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

J PROVO, MD (NPI 1881095479) is a healthcare organization registered as a sports medicine in Boca Raton, Florida and active in the NPI registry since September 2014. The organization lists Dane Trask, Coo, as its authorized official.

NPPES Registry Identity

NPI1881095479

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameORTHO FLORIDA, LLC

Location Address4705 N FEDERAL HWYBoca Raton, FL 33431-4953

Mailing Address751 Park Of Commerce Dr, Ste 112Boca Raton, FL 33487-3626 · (561) 300-1792

Phone(561) 405-9610

Organization SubpartYes

Authorized OfficialDane TraskCoo · (813) 787-1128

Enumeration DateSeptember 15, 2014

Last NPPES UpdateOctober 2, 2015

✔ NPI 1881095479 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.

4705 N FEDERAL HWY, Boca Raton, FL 33431

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Other Names 1

Doing Business AsJ Provo, Md

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.

ORTHOPEDIC CENTER OF PALM BEACH COUNTY, LLC

Orthopaedic Surgery