Healthcare Provider Details
I. General information
NPI: 1932648979
Provider Name (Legal Business Name): K&A PRPERTY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/22/2017
Last Update Date: 02/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
455 DOUGLAS AVE
ALTAMONTE SPRINGS FL
32714-2569
US
IV. Provider business mailing address
455 DOUGLAS AVE
ALTAMONTE SPRINGS FL
32714-2569
US
V. Phone/Fax
- Phone: 407-729-3006
- Fax: 800-803-4811
- Phone: 407-729-3006
- Fax: 800-803-4811
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HUGO
CALVILLO
Title or Position: PRESIDENT
Credential:
Phone: 407-729-3006