Organization
ALL SPECIALTY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL M BAHRAMI MD (PRESIDENT)
(954) 583-5099
Entity
Organization
Contact information
Practice address
5595 ORANGE DR, SUITE 207, DAVIE, FL 33314-3817
(954) 583-5099
(954) 583-5168
Mailing address
5595 ORANGE DR, SUITE 207, DAVIE, FL 33314-3817
(954) 583-5099
(954) 583-5168
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME56556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062430600
—
FL
01
—
1568470417
INDIVIDUAL NPI
FL
05
—
268559500
—
FL
01
—
ME56556
STATE LICENSE
FL
Enumeration date
05/26/2006
Last updated
03/07/2023
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