| NPI | 1902468077 |
|---|---|
| Former Legal Business Name | AKL ACTIVE, INC |
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO TORO Owner 305-290-0622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2024-06-10 |