MEDICARE: ALTA MEDICAL

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1942140025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTA MEDICAL

Provider Business Mailing Address
First Line	:	5946 CURRY FORD RD STE 103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4209
Country	:	US
Telephone Number	:	321-667-3641
Fax Number	:

Provider Business Practice Location Address
First Line	:	5946 CURRY FORD RD STE 103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4209
Country	:	US
Telephone Number	:	321-667-3641
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MGR
Name	:	MS. MARIA REYES
Credential	:
Telephone Number	:	407-930-3696

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	04/06/2026

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Directions to “ALTA MEDICAL ” Practice Location

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