Organization
AJK MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVERY JENNINGS KNAPP JR. M.D. (CEO)
(646) 623-1020
Entity
Organization
Contact information
Practice address
1504 BAY RD APT 3101, MIAMI BEACH, FL 33139-3280
(646) 623-1020
Mailing address
1504 BAY RD APT 3101, MIAMI BEACH, FL 33139-3280
(646) 623-1020
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255594289
MEDICARE NPI
—
Enumeration date
10/24/2014
Last updated
10/24/2014
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