| Allcare Complete | |
|
5860 Ranch Lake Blvd Suite 200 Bradenton FL 34202 | |
| (941) 202-3888 | |
| (941) 236-5640 |
| Full Name | Allcare Complete |
|---|---|
| Speciality | Family Medicine |
| Location | 5860 Ranch Lake Blvd, Bradenton, Florida |
| Authorized Official Name and Position | Derek Kamajian (VP OPERATIONS) |
| Authorized Official Contact | 9412023888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allcare Complete 5860 Ranch Lake Blvd Suite 200 Bradenton FL 34202 Ph: (941) 202-3888 | Allcare Complete 5860 Ranch Lake Blvd Suite 200 Bradenton FL 34202 Ph: (941) 202-3888 |
| NPI Number | 1740959808 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 7113375726 |
|---|---|
| Medicare Enrollment ID | O20231121000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740959808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew Nessetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568409407 PECOS PAC ID: 5294622015 Enrollment ID: I20120402000706 |
| Provider Name | Jean-joseph Ganeau Rendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184359390 PECOS PAC ID: 0840648457 Enrollment ID: I20231121000034 |
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