Allcare Clinic | |
4401 4th St N Saint Petersburg FL 33703-4728 | |
(727) 525-4401 | |
(727) 525-7788 |
Full Name | Allcare Clinic |
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Speciality | Clinic/Center |
Location | 4401 4th St N, Saint Petersburg, Florida |
Authorized Official Name and Position | Fred Elton Clark (OWNER) |
Authorized Official Contact | 7275254401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allcare Clinic Po Box 7651 Saint Petersburg FL 33734-7651 Ph: (727) 922-0009 | Allcare Clinic 4401 4th St N Saint Petersburg FL 33703-4728 Ph: (727) 525-4401 |
NPI Number | 1629485271 |
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Provider Enumeration Date | 07/16/2014 |
Last Update Date | 06/11/2022 |
Medicare PECOS PAC ID | 3274803259 |
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Medicare Enrollment ID | O20170725000218 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629485271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME102187 (Florida) | Primary |
Provider Name | Fred E Clark |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609022086 PECOS PAC ID: 5092851212 Enrollment ID: I20091001000480 |
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