Organization Name: | ALL CARE MEDICAL GROUP, INC. |
NPI Number: | 1104152305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAMON ANGEL LOPEZ (PRESIDENT) |
Mailing Address: | 10013 N Florida Ave Tampa |
State: | FL US |
Postal Code: | 336127410 |
Phone Number: | 8134434545 |
Fax Number: | 8134434542 |
NPI Enumeration Date: | 10/22/2009 |
NPI Last Update Date: | 10/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME103791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |