Provider Demographics
NPI:1740959808
Name:ALLCARE COMPLETE
Entity type:Organization
Organization Name:ALLCARE COMPLETE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-202-3888
Mailing Address - Street 1:5860 RANCH LAKE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202
Mailing Address - Country:US
Mailing Address - Phone:941-202-3888
Mailing Address - Fax:941-236-5640
Practice Address - Street 1:5860 RANCH LAKE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202
Practice Address - Country:US
Practice Address - Phone:941-202-3888
Practice Address - Fax:941-236-5640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty