MEDICARE: ALPHA MEDICAL SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	246ZE0500X	EEG Specialist/Technologist
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center
3	293D00000X	Physiological Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HCC11555	OTHER	FL	AGENCY FOR HEALTH CARE ADMINISTRATION
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235631102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA MEDICAL SOLUTIONS

Provider Business Mailing Address
First Line	:	PO BOX 6902
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-1006
Country	:	US
Telephone Number	:	904-874-2325
Fax Number	:	904-800-6598

Provider Business Practice Location Address
First Line	:	36468 EMERALD COAST PKWY STE 2203
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-4755
Country	:	US
Telephone Number	:	904-874-2325
Fax Number	:	904-800-6598

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MICHAEL DANGERFIELD
Credential	:
Telephone Number	:	904-874-2325

Provider Enumeration Date	:	03/06/2018
Last Update Date	:	12/05/2022

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Directions to “ALPHA MEDICAL SOLUTIONS ” Practice Location

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