Provider Demographics
NPI:1326079948
Name:ALL STATE MEDICAL CENTER INC.
Entity Type:Organization
Organization Name:ALL STATE MEDICAL CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BERTO
Authorized Official - Middle Name:F
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-805-3350
Mailing Address - Street 1:800 PALM AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4353
Mailing Address - Country:US
Mailing Address - Phone:305-805-3350
Mailing Address - Fax:305-805-3360
Practice Address - Street 1:800 PALM AVE
Practice Address - Street 2:SUITE H
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4353
Practice Address - Country:US
Practice Address - Phone:305-805-3350
Practice Address - Fax:305-805-3360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty