Provider Demographics
NPI:1396976676
Name:ALL CARE SURGICAL AND MEDICAL SUPPLI
Entity type:Organization
Organization Name:ALL CARE SURGICAL AND MEDICAL SUPPLI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGERAMOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-274-8039
Mailing Address - Street 1:701 S 21ST AVENUE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020
Mailing Address - Country:US
Mailing Address - Phone:954-274-8039
Mailing Address - Fax:954-239-9667
Practice Address - Street 1:701 S 21ST AVENUE
Practice Address - Street 2:SUITE 2
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020
Practice Address - Country:US
Practice Address - Phone:954-274-8039
Practice Address - Fax:954-239-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL#1313566332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies