Provider Demographics
NPI:1073510780
Name:ALL CARE MEDICAL CONSULTANTS PA
Entity Type:Organization
Organization Name:ALL CARE MEDICAL CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ILYAS
Authorized Official - Last Name:YAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-587-0377
Mailing Address - Street 1:1745 SOUTH HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756
Mailing Address - Country:US
Mailing Address - Phone:727-587-0377
Mailing Address - Fax:727-587-0527
Practice Address - Street 1:1745 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-1852
Practice Address - Country:US
Practice Address - Phone:727-587-0377
Practice Address - Fax:727-548-1360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC2614207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266258200Medicaid
FL266258200Medicaid
K3710Medicare PIN