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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
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL HOME ALLIANCE LLC
Authorized official
VANESSA HOURIHAN (VP OF REVENUE)
(407) 845-0322
Entity
Organization
Contact information
Practice address
14035 W COLONIAL DR, WINTER GARDEN, FL 34787-6037
(407) 845-0330
(888) 972-1752
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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