Healthcare Provider Details

I. General information

NPI: 1629562640
Provider Name (Legal Business Name): ALL CARE MEDICAL CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 06/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 PARK BLVD
SEMINOLE FL
33777-4119
US

IV. Provider business mailing address

8900 PARK BLVD
SEMINOLE FL
33777-4119
US

V. Phone/Fax

Practice location:
  • Phone: 727-545-4545
  • Fax:
Mailing address:
  • Phone: 727-545-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

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