MEDICARE: ALNA

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	347C00000X	Private Vehicle	F001	FL

General Provider Information

NPI Number	:	1184815797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALNA

Provider Business Mailing Address
First Line	:	550 DAVID CIR SW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32908-1835
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 DAVID CIR SW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32908-1835
Country	:	US
Telephone Number	:	321-549-4168
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. NADINE BURGESS
Credential	:
Telephone Number	:	321-549-4168

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	07/21/2022

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Directions to “ALNA ” Practice Location

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