MEDICARE: MEDICAL ALTERNATIVES OF AMERICA INC

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	2081H0002X	Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician	ME0069749	FL

General Provider Information

NPI Number	:	1598978298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ALTERNATIVES OF AMERICA INC

Provider Business Mailing Address
First Line	:	1140 S SEMORAN BLVD
Second Line	:	SUITE C
City	:	ORLANDO
State	:	FL
Zip	:	32807-1459
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1140 S SEMORAN BLVD
Second Line	:	SUITE C
City	:	ORLANDO
State	:	FL
Zip	:	32807-1459
Country	:	US
Telephone Number	:	407-352-1030
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALLISON W HANLEY
Credential	:	M.D.
Telephone Number	:	407-352-1030

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	08/22/2020

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