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Medical Home Alliance, LLC

Internal Medicine in Saint Cloud, FL. Organization (NPI-2).

NPI number1790458396
StatusActive
Last updated in NPPESJul 29, 2021

Details

NPI
1790458396
Entity type
Organization (NPI-2)
Legal business name
Medical Home Alliance, LLC
Organization subpart
No
Enumeration date
Jul 29, 2021
Certification date
Jul 29, 2021
Last updated
Jul 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Ima Medical Group St. Cloud (Doing Business As)

Practice location

1495 Budinger Ave
Saint Cloud, FL 34769-4157

Phone 407-593-9890 · Fax 407-910-4795

Mailing address

6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027

Phone 407-845-0330 · Fax 888-972-1752

Authorized official

Vanessa Hourihan
Vp Of Revenue Cycle
4078450322

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