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Organization

MEDICAL HOME ALLIANCE LLC

Active
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Organization

MEDICAL HOME ALLIANCE LLC

Active
Parent organization
MEDICAL HOME ALLIANCE LLC
Other names
IMA Medical Group - South Conway
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
3333 CONWAY RD, ORLANDO, FL 32812-7334
(407) 440-3405
(407) 440-3108
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
08/10/2021
Last updated
08/10/2021
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