Provider Demographics
NPI:1306011630
Name:SOUTH FLORIDA ORTHOPAEDIC & KNEE INSTITUTE
Entity Type:Organization
Organization Name:SOUTH FLORIDA ORTHOPAEDIC & KNEE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROWLAND
Authorized Official - Middle Name:WALKER
Authorized Official - Last Name:PRITCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-324-7913
Mailing Address - Street 1:PO BOX 140038
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-0038
Mailing Address - Country:US
Mailing Address - Phone:305-324-7913
Mailing Address - Fax:305-325-1816
Practice Address - Street 1:1321 NW 14TH ST
Practice Address - Street 2:SUITE 511
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1673
Practice Address - Country:US
Practice Address - Phone:305-324-7913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME21367207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8622Medicare PIN