Organization
ALPHA MEDICAL CONSULTING INC
Active
Organization
ALPHA MEDICAL CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANTILAL BHALANI MD (CEO)
(321) 298-5531
Entity
Organization
Contact information
Practice address
123 S PARK AVE, TITUSVILLE, FL 32796-3377
(321) 298-5531
Mailing address
3 INDIAN RIVER AVE APT 1001, TITUSVILLE, FL 32796-5821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/31/2019
Last updated
10/11/2019
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