Provider Demographics
NPI:1235301847
Name:ALL AMERICAN MEDICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:ALL AMERICAN MEDICAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-686-3991
Mailing Address - Street 1:10494 NORTHCLIFFE BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-3656
Mailing Address - Country:US
Mailing Address - Phone:352-686-3991
Mailing Address - Fax:352-666-0393
Practice Address - Street 1:10494 NORTHCLIFFE BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-3656
Practice Address - Country:US
Practice Address - Phone:352-686-3991
Practice Address - Fax:352-666-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5409207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL052714900Medicaid
FLE31888Medicare UPIN
FLK3721Medicare PIN