Provider Demographics
NPI:1194826255
Name:ARTHRITIS & JOINT CENTER OF FLORIDA LLC
Entity Type:Organization
Organization Name:ARTHRITIS & JOINT CENTER OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-956-1501
Mailing Address - Street 1:2328 MEDICO LN
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-7406
Mailing Address - Country:US
Mailing Address - Phone:321-956-1501
Mailing Address - Fax:321-956-1502
Practice Address - Street 1:2328 MEDICO LN
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7406
Practice Address - Country:US
Practice Address - Phone:321-956-1501
Practice Address - Fax:321-956-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCJ4802OtherMEDICARE RAILROAD
FLCJ4802OtherMEDICARE RAILROAD