Provider Demographics
NPI:1598081457
Name:NK GROUP HOLDINGS
Entity Type:Organization
Organization Name:NK GROUP HOLDINGS
Other - Org Name:ALLEGIANCE MEDICAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARUNGAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-283-7952
Mailing Address - Street 1:2633 E COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8214
Mailing Address - Country:US
Mailing Address - Phone:561-283-7952
Mailing Address - Fax:561-668-9601
Practice Address - Street 1:2930 OKEECHOBEE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-4051
Practice Address - Country:US
Practice Address - Phone:561-902-8060
Practice Address - Fax:561-902-8060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6491260001Medicare NSC