MEDICARE: ALKT L.L.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1568954378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALKT L.L.C

Provider Business Mailing Address
First Line	:	5319 BRADBURY CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-2514
Country	:	US
Telephone Number	:	813-334-1964
Fax Number	:

Provider Business Practice Location Address
First Line	:	5319 BRADBURY CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-2514
Country	:	US
Telephone Number	:	813-334-1964
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. MAITHAM MOHAMMED
Credential	:
Telephone Number	:	813-334-1964

Provider Enumeration Date	:	06/06/2018
Last Update Date	:	06/06/2018

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