Provider Demographics
NPI:1639498322
Name:A & K PROFESSIONAL GROUP INC
Entity Type:Organization
Organization Name:A & K PROFESSIONAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-526-3313
Mailing Address - Street 1:6555 NW 36TH ST STE 222
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6900
Mailing Address - Country:US
Mailing Address - Phone:305-526-3313
Mailing Address - Fax:305-526-3314
Practice Address - Street 1:6555 NW 36TH ST STE 222
Practice Address - Street 2:
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6900
Practice Address - Country:US
Practice Address - Phone:305-526-3313
Practice Address - Fax:305-526-3314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA45013261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy