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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
MS. TINA A ALICEA MBA (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
113458
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100517352
—
NV
05
—
1104478270
—
NV
05
—
1619657996
—
NV
05
—
184105523
—
NV
05
—
1841205523
—
NV
05
—
2019993
—
NV
05
—
250007806
—
NV
01
—
NPI
1457320004
NV
Enumeration date
05/31/2007
Last updated
09/02/2025
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