Organization Active NPI

Allcare Clinic, PLLC

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1447516141
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS8199 Issued in FL
Legal business name
ALLCARE CLINIC, PLLC
Practice address
14924 Casey Rd
Tampa, FL 33624-2317
Phone
(813) 963-1982
Fax
(813) 961-5383
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chris Pudol, D.O.
Title
Medical Director
Phone
(813) 963-1982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X OS8199 FL Primary

Addresses

Primary practice location

14924 Casey Rd
Tampa, FL 33624-2317

Mailing address

14924 Casey Rd
Tampa, FL 33624-2317
Phone (813) 963-1982

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1447516141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14924 CASEY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242317",
            "telephone_number": "813-963-1982",
            "fax_number": "813-961-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14924 CASEY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242317",
            "telephone_number": "813-963-1982",
            "fax_number": "813-961-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "PUDOL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-963-1982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS8199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.