Safe Harbor Medical, INC.
Family Medicine in Las Vegas, NV. Organization (NPI-2).
NPI number1821290115
StatusActive
Last updated in NPPESSep 2, 2025
Details
- NPI
- 1821290115
- Entity type
- Organization (NPI-2)
- Legal business name
- Safe Harbor Medical, INC.
- Organization subpart
- No
- Enumeration date
- May 31, 2007
- Certification date
- Oct 14, 2024
- Last updated
- Sep 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 113458 | NV | Yes |
Other names
- Safe Harbor Medical (Doing Business As)
Practice location
2901 N Tenaya Way Ste 100Las Vegas, NV 89128-1404
Phone 702-870-8852 · Fax 702-870-8914
Mailing address
2901 N Tenaya Way Ste 100Las Vegas, NV 89128-1404
Phone 702-870-8852 · Fax 702-870-8914
Authorized official
Tina A Alicea
Ceo
7028708852
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