DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MEDICAL HOME ALLIANCE LLC

MEDICARE: MEDICAL HOME ALLIANCE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134896004
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL HOME ALLIANCE LLC
Provider Business Mailing Address
First Line : 6675 WESTWOOD BLVD STE 475
Second Line :
City : ORLANDO
State : FL
Zip : 32821-6027
Country : US
Telephone Number : 407-845-0330
Fax Number :
Provider Business Practice Location Address
First Line : 4729 US HIGHWAY 98 S STE 201
Second Line :
City : LAKELAND
State : FL
Zip : 33812-4336
Country : US
Telephone Number : 863-940-3147
Fax Number : 863-940-3141
Authorized Official
Title or Position : VP REVENUE CYCLE
Name : VANESSA HOURIHAN
Credential :
Telephone Number : 321-394-5736
Provider Enumeration Date : 08/27/2021
Last Update Date : 12/05/2023

Similar Medicare Providers

1518962885 — DR. SAM M KORLEY M.D.
Practice Location Address:
4729 US HIGHWAY 98 S STE 201
LAKELAND, FL
33812-4336
Practice Phone: 863-646-9663
Practice Fax: 863-646-9664
1881843860 — DR. KEILA THAMAR TOSADO DE LEON M.D
Practice Location Address:
4729 US HIGHWAY 98 S STE 201
LAKELAND, FL
33812-4336
Practice Phone: 863-646-9663
Practice Fax: 863-646-9664
1649572249 — LYSMAR CARRION DINGUIS M.D.
Practice Location Address:
4729 US HIGHWAY 98 S STE 201
LAKELAND, FL
33812-4336
Practice Phone: 863-646-9663
Practice Fax: 863-646-9664
1902109929 — CHARITY ELEANOR POPP PA-C
Practice Location Address:
4729 US HIGHWAY 98 S STE 201
LAKELAND, FL
33812-4336
Practice Phone: 863-646-9663
Practice Fax:
1144617382 — SARIM IDREES M.D.
Practice Location Address:
4729 US HIGHWAY 98 S STE 201
LAKELAND, FL
33812-4336
Practice Phone: 863-646-9663
Practice Fax: 863-646-9664
1750923272 — SHAWNA NICOLE MELVILLE PA-C
Practice Location Address:
4729 US HIGHWAY 98 S STE 201
LAKELAND, FL
33812-4336
Practice Phone: 863-646-9663
Practice Fax: 863-364-6966

Directions to “MEDICAL HOME ALLIANCE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.