Provider Demographics
| NPI: | 1912289042 |
|---|---|
| Name: | ALL CARE MEDICAL CONSULTANTS, PA |
| Entity type: | Organization |
| Organization Name: | ALL CARE MEDICAL CONSULTANTS, PA |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO/PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | M |
| Authorized Official - Middle Name: | I |
| Authorized Official - Last Name: | YAMANI |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 727-587-0377 |
| Mailing Address - Street 1: | 1745 S HIGHLAND AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CLEARWATER |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33756-1852 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 727-587-0377 |
| Mailing Address - Fax: | 727-587-0527 |
| Practice Address - Street 1: | 1745 S HIGHLAND AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | CLEARWATER |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33756-1852 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 727-587-0377 |
| Practice Address - Fax: | 727-587-0527 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2011-09-14 |
| Last Update Date: | 2011-09-14 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 332900000X | Suppliers | Non-Pharmacy Dispensing Site |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| FL | K3710 | Medicare PIN |