MEDICARE: ALL AMERICAN HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1164964763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL AMERICAN HEALTH LLC

Provider Business Mailing Address
First Line	:	1503 S US HIGHWAY 301
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-5126
Country	:	US
Telephone Number	:	813-712-4118
Fax Number	:

Provider Business Practice Location Address
First Line	:	1503 S US HIGHWAY 301
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-5126
Country	:	US
Telephone Number	:	813-545-9527
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARQUS JOHNSON
Credential	:
Telephone Number	:	813-712-4118

Provider Enumeration Date	:	11/14/2016
Last Update Date	:	11/14/2016

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Directions to “ALL AMERICAN HEALTH LLC ” Practice Location

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