Provider Demographics
NPI:1770041550
Name:COMPLETE CARE GROUP INC
Entity Type:Organization
Organization Name:COMPLETE CARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KAHANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-889-1442
Mailing Address - Street 1:3303 MANATEE AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-2550
Mailing Address - Country:US
Mailing Address - Phone:941-748-8069
Mailing Address - Fax:
Practice Address - Street 1:3303 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-2550
Practice Address - Country:US
Practice Address - Phone:941-748-8069
Practice Address - Fax:941-748-6609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-11
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty