Provider Demographics
NPI:1013065648
Name:ALL AMERICAN MEDICAL, INC
Entity Type:Organization
Organization Name:ALL AMERICAN MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WENTZKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-753-9078
Mailing Address - Street 1:1959 CLYDESDALE DR
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-3914
Mailing Address - Country:US
Mailing Address - Phone:561-616-3999
Mailing Address - Fax:561-616-8222
Practice Address - Street 1:5730 CORPORATE WAY
Practice Address - Street 2:SUITE 130
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2046
Practice Address - Country:US
Practice Address - Phone:561-616-3999
Practice Address - Fax:561-616-8222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV0629OtherINSURANCE
FLV0629OtherINSURANCE