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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 Clermont 2
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL HOME ALLIANCE LLC
Authorized official
VANESSA HOURIHAN (VP REVENUE CYCLE)
(407) 845-0322
Entity
Organization
Contact information
Practice address
2757 CITRUS TOWER BLVD STE 101&103, CLERMONT, FL 34711-6699
(407) 845-0330
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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