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Organization
ALL MEDICINE, INC
Active
Organization
ALL MEDICINE, INC
Active
Other names
Eldridge McCormack, MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR GEORGE GHOBRIAL MD (PHYSICIAN OWNER)
(941) 705-0308
Entity
Organization
Contact information
Practice address
250 2ND ST E STE 3A, BRADENTON, FL 34208-1027
(941) 746-7444
Mailing address
PO BOX 1289, BRADENTON, FL 34206-1289
(941) 705-0308
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME87238
MEDICAL LICENSE NUMBER
DC
Enumeration date
09/12/2022
Last updated
09/12/2022
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