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NPI Code Detail

MEDICARE: ALL CARE WELLNESS AND AESTHETICS, LLC

MEDICARE: ALL CARE WELLNESS AND AESTHETICS, 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
1207R00000XInternal Medicine PhysicianME70978FL

General Provider Information

NPI Number : 1780190793
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL CARE WELLNESS AND AESTHETICS, LLC
Provider Business Mailing Address
First Line : 8900 PARK BLVD
Second Line :
City : SEMINOLE
State : FL
Zip : 33777-4119
Country : US
Telephone Number : 727-767-0950
Fax Number : 727-440-7292
Provider Business Practice Location Address
First Line : 8900 PARK BLVD
Second Line :
City : SEMINOLE
State : FL
Zip : 33777-4119
Country : US
Telephone Number : 727-767-0950
Fax Number : 727-440-7292
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : MOHAMMAD ILYAS YAMANI
Credential : M.D.
Telephone Number : 727-767-0950
Provider Enumeration Date : 12/28/2017
Last Update Date : 12/28/2017

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Directions to “ALL CARE WELLNESS AND AESTHETICS, LLC ” Practice Location

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