MEDICARE: LLOYD ALCH MD

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	207P00000X	Emergency Medicine Physician	ME44994	FL

General Provider Information

NPI Number	:	1437227196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LLOYD ALCH MD

Provider Business Mailing Address
First Line	:	6717 BANNER LAKE CIR
Second Line	:	# 11302
City	:	ORLANDO
State	:	FL
Zip	:	32821-9391
Country	:	US
Telephone Number	:	386-451-6077
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 WEBB RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3241
Country	:	US
Telephone Number	:	813-882-7259
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	07/08/2007

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