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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