Healthcare Provider Details

I. General information

NPI: 1700149218
Provider Name (Legal Business Name): HOSPITALIST ALLIANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 03/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 COLLEGE RD
KEY WEST FL
33040-4342
US

IV. Provider business mailing address

PO BOX 5491
KEY WEST FL
33045-5491
US

V. Phone/Fax

Practice location:
  • Phone: 305-295-3535
  • Fax: 866-629-9347
Mailing address:
  • Phone: 305-295-3535
  • Fax: 866-629-9347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MEHMET AYDIN ATILLA
Title or Position: PRESIDENT
Credential: MD
Phone: 877-817-6017