Healthcare Provider Details
I. General information
NPI: 1265940910
Provider Name (Legal Business Name): ALL CARE MEDICAL CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2018
Last Update Date: 11/24/2021
Certification Date: 11/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8900 PARK BLVD
SEMINOLE FL
33777-4119
US
IV. Provider business mailing address
1745 S HIGHLAND AVE
CLEARWATER FL
33756-1852
US
V. Phone/Fax
- Phone: 727-545-4545
- Fax: 275-481-3607
- Phone: 727-767-0955
- Fax: 727-548-1360
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MOHAMMAD
ILYAS
YAMANI
Title or Position: OWNER
Credential: MD
Phone: 727-587-0377