# ALINA HEALTH MEDICAL CENTER CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144975418
- **Authorized official:** GRAVIL JOSEPH MD (OWNER)
- **Authorized official phone:** (305) 767-0887

## Contact information

- **Practice address:** 4800 N STATE ROAD 7 STE C, LAUDERDALE LAKES, FL 33319-5811
- **Practice address phone:** (305) 767-0887
- **Mailing address:** 4800 N STATE ROAD 7 STE ABANDC, LAUDERDALE LAKES, FL 33319-5811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2022
- **Last updated:** 02/15/2022