1275870271 NPI number — ALL-N-ONE MEDICAL GROUP, INC.

Table of content: (NPI 1275870271)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275870271 NPI number — ALL-N-ONE MEDICAL GROUP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL-N-ONE MEDICAL GROUP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275870271
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/10/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
195 S WESTMONTE DR
Provider Second Line Business Mailing Address:
SUITE 1116
Provider Business Mailing Address City Name:
ALTAMONTE SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32714-4266
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-862-2287
Provider Business Mailing Address Fax Number:
407-869-5433

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
195 S WESTMONTE DR
Provider Second Line Business Practice Location Address:
SUITE 1116
Provider Business Practice Location Address City Name:
ALTAMONTE SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32714-4266
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-862-2287
Provider Business Practice Location Address Fax Number:
407-869-5433
Provider Enumeration Date:
01/10/2013

Additional Information

Authorized Official

Authorized Official Last Name:
FARIA
Authorized Official First Name:
MANUEL
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIORPRACTIC PHYSICIAN/OWNER
Authorized Official Telephone Number:
407-862-2287

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH4434 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CH4434 . This is a "CHIROPRACTIC LICENSE NUMBER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com