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Organization
MEDICAL HOME ALLIANCE, LLC
Active
Organization
MEDICAL HOME ALLIANCE, LLC
Active
Parent organization
MEDICAL HOME ALLIANCE LLC
Other names
IMA Medical Group Poinciana 2
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL HOME ALLIANCE LLC
Authorized official
VANESSA HOURIHAN (VP OF REVENUE CYCLE)
(407) 845-0322
Entity
Organization
Contact information
Practice address
3370 W SOUTHPORT RD, KISSIMMEE, FL 34746-2706
(407) 933-7900
(321) 437-0072
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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