Healthcare Provider Details

I. General information

NPI: 1164348413
Provider Name (Legal Business Name): AK P & L AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9140 JAKES PATH
LARGO FL
33771-6311
US

IV. Provider business mailing address

9140 JAKES PATH
LARGO FL
33771-6311
US

V. Phone/Fax

Practice location:
  • Phone: 727-735-3013
  • Fax:
Mailing address:
  • Phone: 727-735-3013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: REGINA ASHAUNE HEATLY
Title or Position: ADMINISTRATION
Credential:
Phone: 727-735-3013