| Organization Name: | BKK SERVICE OF CENTRAL FLORIDA INC. |
| NPI Number: | 1023269354 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BYRON K KELLEY (OWNER) |
| Mailing Address: | 902 S Florida Ave Suite 201 Lakeland |
| State: | FL US |
| Postal Code: | 338031183 |
| Phone Number: | 8637019100 |
| Fax Number: | 8636448077 |
| NPI Enumeration Date: | 10/06/2008 |
| NPI Last Update Date: | 07/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 228316 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |