Provider Demographics
NPI:1174185656
Name:S&K MANAGEMENT SERVICES
Entity type:Organization
Organization Name:S&K MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:D
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:813-810-9397
Mailing Address - Street 1:19046 BRUCE B. DOWNS BLVD
Mailing Address - Street 2:STE 177
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647
Mailing Address - Country:US
Mailing Address - Phone:813-810-9397
Mailing Address - Fax:
Practice Address - Street 1:19046 BRUCE B. DOWNS BLVD
Practice Address - Street 2:STE 177
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647
Practice Address - Country:US
Practice Address - Phone:813-810-9397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Multi-Specialty
No364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term CareGroup - Multi-Specialty