Provider Demographics
NPI:1417374331
Name:ALLCARE HEALTH NETWORKS LLC
Entity Type:Organization
Organization Name:ALLCARE HEALTH NETWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRESHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-776-4008
Mailing Address - Street 1:700 8TH AVE W
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-4737
Mailing Address - Country:US
Mailing Address - Phone:941-776-4008
Mailing Address - Fax:941-776-4014
Practice Address - Street 1:700 8TH AVE W
Practice Address - Street 2:SUITE 101
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4737
Practice Address - Country:US
Practice Address - Phone:941-776-4008
Practice Address - Fax:941-776-4014
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MANATEE COUNTY RURAL HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1223G0001X, 152W00000X, 207Q00000X, 207R00000X, 207V00000X, 208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty