Provider Demographics
NPI:1073836292
Name:ALLHEALTH PRIMARY CARE LLC
Entity Type:Organization
Organization Name:ALLHEALTH PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ATTA
Authorized Official - Middle Name:U
Authorized Official - Last Name:BUTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-669-2969
Mailing Address - Street 1:3190 N MCMULLEN BOOTH RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2013
Mailing Address - Country:US
Mailing Address - Phone:727-669-2969
Mailing Address - Fax:727-669-7460
Practice Address - Street 1:3190 N MCMULLEN BOOTH RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2013
Practice Address - Country:US
Practice Address - Phone:727-669-2969
Practice Address - Fax:727-669-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty