Healthcare Provider Details

I. General information

NPI: 1821900598
Provider Name (Legal Business Name): ALAS HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 CRESCENT BLVD STE 103
ORLANDO FL
32817-4619
US

IV. Provider business mailing address

1817 CRESCENT BLVD STE 103
ORLANDO FL
32817-4619
US

V. Phone/Fax

Practice location:
  • Phone: 407-969-1964
  • Fax:
Mailing address:
  • Phone: 407-969-1964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMILYS GARCIA MARTIN
Title or Position: OWNER
Credential: APRN
Phone: 407-969-1964