Healthcare Provider Details

I. General information

NPI: 1740527811
Provider Name (Legal Business Name): MEDICAL HOME ALLIANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2013
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6675 WESTWOOD BLVD STE 475
ORLANDO FL
32821
US

IV. Provider business mailing address

6675 WESTWOOD BLVD STE 475
ORLANDO FL
32821-6027
US

V. Phone/Fax

Practice location:
  • Phone: 407-845-0330
  • Fax: 888-972-1752
Mailing address:
  • Phone: 78-450-3304
  • Fax: 888-972-1752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VANESSA HOURIHAN
Title or Position: SVP REVENUE CYCLE
Credential:
Phone: 407-989-9956