MEDICARE: ALLIANCE CARE CORP.

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1255713228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE CARE CORP.

Provider Business Mailing Address
First Line	:	7211 N DALE MABRY HWY STE 222
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-2669
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7211 N DALE MABRY HWY STE 222
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-2669
Country	:	US
Telephone Number	:	954-990-0967
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MINERVA VALIDO
Credential	:
Telephone Number	:	954-990-0967

Provider Enumeration Date	:	06/25/2015
Last Update Date	:	06/25/2015

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Directions to “ALLIANCE CARE CORP. ” Practice Location

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