Provider Demographics
NPI:1053582072
Name:ALL CARE, LLC
Entity type:Organization
Organization Name:ALL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MNG MEMEBER
Authorized Official - Prefix:DR
Authorized Official - First Name:P.
Authorized Official - Middle Name:C
Authorized Official - Last Name:HYLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-756-7773
Mailing Address - Street 1:729 BEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32119-1823
Mailing Address - Country:US
Mailing Address - Phone:386-756-7773
Mailing Address - Fax:386-756-2086
Practice Address - Street 1:729 BEVILLE RD
Practice Address - Street 2:
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-1823
Practice Address - Country:US
Practice Address - Phone:386-756-7773
Practice Address - Fax:386-756-2086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5783111N00000X
FLME10840208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty