Provider Demographics
NPI:1891208302
Name:ALL CARE MEDICINE, LLC
Entity Type:Organization
Organization Name:ALL CARE MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUNDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:GADH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-465-7663
Mailing Address - Street 1:600 S PINE ISLAND RD STE 104
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3178
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 S PINE ISLAND RD STE 104
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3178
Practice Address - Country:US
Practice Address - Phone:954-474-4401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty