Provider Demographics
NPI:1700562345
Name:A.K. & FRIENDS LLC
Entity Type:Organization
Organization Name:A.K. & FRIENDS LLC
Other - Org Name:ATTE SPORTS ORTHO CONSULTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKERE
Authorized Official - Middle Name:CHONGWAIN
Authorized Official - Last Name:ATTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHARMD
Authorized Official - Phone:412-200-8571
Mailing Address - Street 1:7950 SW 30TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1979
Mailing Address - Country:US
Mailing Address - Phone:754-356-8300
Mailing Address - Fax:
Practice Address - Street 1:7950 SW 30TH ST STE 201
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-1979
Practice Address - Country:US
Practice Address - Phone:412-200-8571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty