# ALLCARE MEDICAL CENTERS, P. C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154350858
- **Authorized official:** KELLY LYNN NESSETTI-PRATHER (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (941) 388-8997

## Contact information

- **Practice address:** 5860 RANCH LAKE BLVD, SUITE 200, BRADENTON, FL 34202-3719
- **Practice address phone:** (941) 388-8997
- **Practice address fax:** (949) 695-2987
- **Mailing address:** 5860 RANCH LAKE BLVD, SUITE 200, BRADENTON, FL 34202-3718
- **Mailing address phone:** (941) 388-8997
- **Mailing address fax:** (949) 695-2987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 05/15/2024