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Organization

A REVOLUTION MEDICAL

Active
Parent organization
ALPHA HEALTH LLC
Other names
A Revolution Medical
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALPHA HEALTH LLC
Authorized official
DR. ROBERT G CARDER DOM (MGR)
(407) 808-8763
Entity
Organization

Contact information

Practice address
711 N ORLANDO AVE, MAITLAND, FL 32751-4403
(407) 636-5391
(407) 986-4404
Mailing address
711 N ORLANDO AVE, MAITLAND, FL 32751-4403
(407) 636-5391
(407) 986-4404

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP2102
FLORIDA LICENSE
FL
Enumeration date
08/31/2017
Last updated
07/21/2022
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