MEDICARE: ALIGNMENT HEALTHCARE FLORIDA LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1164899647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIGNMENT HEALTHCARE FLORIDA LLC

Provider Business Mailing Address
First Line	:	1100 W TOWN AND COUNTRY RD
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5511 PARK ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-6309
Country	:	US
Telephone Number	:	844-310-2247
Fax Number	:

Authorized Official
Title or Position	:	SENIOR MEDICAL OFFICER
Name	:	DR. HENRY DO
Credential	:	M.D.
Telephone Number	:	323-728-7232

Provider Enumeration Date	:	08/31/2015
Last Update Date	:	10/06/2015

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