All American Family and Geriatric Care PLLC
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Seminole, FL
NPI 1073873261 · NPPES record last updated Oct 31, 2013
Key facts
- NPI
- 1073873261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- ME 100843 (FL)
- Legal business name
- ALL AMERICAN FAMILY AND GERIATRIC CARE PLLC
- Practice address
- 9677 Seminole Blvd
Seminole, FL 33772-2526 - Phone
- (727) 490-9096
- Fax
- (727) 490-9299
- NPI assigned
- May 21, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Syeda Sabeen Naz Rizvi, MD
- Title
- Managing Member
- Phone
- (727) 490-9096
Practitioners 4
-
Iva S Todorova, APRN
-
Mairaj Uddin, M.D.
-
Desirae Dillman, APRN, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2044921 | All American Family and Geriatric Care | Certificate of waiver | Aug 1, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120913000031 | FL | Part B Supplier - Clinic/Group Practice | 3577711779 |
Receives reassigned benefits from 4 practitioners Practice locations: Dunedin, FL; Seminole, FL |
National Provider Directory
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CGBJBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | ME 100843 | FL | Yes |
Addresses
Primary practice location
9677 Seminole Blvd
Seminole, FL 33772-2526
Mailing address
9677 Seminole Blvd
Seminole, FL 33772-2526
Phone (727) 490-9096
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005640200 | Medicaid | FL |
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All providers in Seminole, FL · Geriatric Medicine (Internal Medicine) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.