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Organization

MEDICAL HOME ALLIANCE LLC

Active
Parent organization
IN HEALTH MD ALLICANCE
Other names
IMA Colonial Dispensary
Organization subpart
Yes

Provider details

NPI number
Legal business name
IN HEALTH MD ALLICANCE
Authorized official
PATRICIA PICHARDO (COO)
(407) 845-0330
Entity
Organization

Contact information

Practice address
7714 E COLONIAL DR, ORLANDO, FL 32807-8422
(407) 845-0330
(888) 972-1752
Mailing address
6675 WESTWOOD BLVD, ORLANDO, FL 32821-8061
(407) 845-0330
(888) 972-1752

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
06/09/2017
Last updated
06/09/2017
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