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General NPI Number Information
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NPI Number | 1083155295
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Entity Type | Individual
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Provider Name | JOAH FRANCIS ALIANCY MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 3641 CLYDE MORRIS BLVD STE 500
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City | PORT ORANGE
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State | FL
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Zip | 32129-2357
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Country | US
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Telephone | 561-542-1134
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Fax |
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Provider Business Mailing Address
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Address Line | 22 AUCUBA CIR
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City | ORMOND BEACH
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State | FL
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Zip | 32174-1494
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Country | US
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Telephone | 561-542-1134
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | ME0155678
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License Number State | FL
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