Healthcare Provider Details

I. General information

NPI: 1073510780
Provider Name (Legal Business Name): ALL CARE MEDICAL CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 11/24/2021
Certification Date: 11/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1745 S HIGHLAND AVE
CLEARWATER FL
33756-1852
US

IV. Provider business mailing address

1745 SOUTH HIGHLAND AVE
CLEARWATER FL
33756
US

V. Phone/Fax

Practice location:
  • Phone: 727-587-0377
  • Fax: 727-548-1360
Mailing address:
  • Phone: 727-587-0377
  • Fax: 727-587-0527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberHCC2614
License Number StateFL

VIII. Authorized Official

Name: DR. MOHAMMAD ILYAS YAMANI
Title or Position: OWNER
Credential: MD
Phone: 727-587-0377