Basic Information
| Provider Information | |||||||||
| NPI: | 1912289042 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ALL CARE MEDICAL CONSULTANTS, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1745 S HIGHLAND AVE | ||||||||
| Address2: | |||||||||
| City: | CLEARWATER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337561852 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7275870377 | ||||||||
| FaxNumber: | 7275870527 | ||||||||
| Practice Location | |||||||||
| Address1: | 1745 S HIGHLAND AVE | ||||||||
| Address2: | |||||||||
| City: | CLEARWATER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337561852 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7275870377 | ||||||||
| FaxNumber: | 7275870527 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/14/2011 | ||||||||
| LastUpdateDate: | 09/14/2011 | ||||||||
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| AuthorizedOfficialLastName: | YAMANI | ||||||||
| AuthorizedOfficialFirstName: | M | ||||||||
| AuthorizedOfficialMiddleName: | I | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7275870377 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332900000X | Y | Suppliers | Non-Pharmacy Dispensing Site |
No ID Information.