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Organization
SAFE HARBOR MEDICAL, INC.
Active
Organization
SAFE HARBOR MEDICAL, INC.
Active
Other names
Safe Harbor Medical
Organization subpart
No
Provider details
NPI number
Authorized official
TINA A ALICEA (CEO)
(702) 870-8852
Entity
Organization
Contact information
Practice address
2901 N TENAYA WAY STE 100, LAS VEGAS, NV 89128-1404
(702) 870-8852
(702) 870-8914
Mailing address
2901 N TENAYA WAY STE 100, LAS VEGAS, NV 89128-1404
(702) 870-8852
(702) 870-8914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
380
NV
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/20/2014
Last updated
03/04/2024
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