MEDICARE: DR. ALINA LADHA 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	ME173035	FL

General Provider Information

NPI Number	:	1790428720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALINA LADHA MD

Provider Business Mailing Address
First Line	:	7599 CYPRESS GARDENS BLVD STE P
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-3263
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7599 CYPRESS GARDENS BLVD STE P
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-3263
Country	:	US
Telephone Number	:	863-324-4725
Fax Number	:

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

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	11/16/2025

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