Medical Home Alliance LLC

NPI #1063174498 in Debary, Florida

Provider Information

NPI Number: 1063174498
Entity Type: Organization
Organization Name: Medical Home Alliance LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MEDICAL HOME ALLIANCE LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 13, 2021
Last Updated: Oct 13, 2021

Practice Location

Address: 173 N CHARLES RICHARD BEALL BLVD STE 106
City: Debary
State: Florida
ZIP Code: 32713-2211
Phone: (407) 845-0330

Authorized Official

Name: VANESSA HOURIHAN
Title: VP REVENUE CYCLE
Phone: (407) 845-0322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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