| Medical Home Alliance Llc | |
|
1190 E Church St Bartow FL 33830-4117 | |
| (407) 845-0330 | |
| Not Available |
| Full Name | Medical Home Alliance Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1190 E Church St, Bartow, Florida |
| Authorized Official Name and Position | Vanessa Hourihan (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 4078450322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Home Alliance Llc 6675 Westwood Blvd Ste 475 Orlando FL 32821-6027 Ph: (407) 845-0330 | Medical Home Alliance Llc 1190 E Church St Bartow FL 33830-4117 Ph: (407) 845-0330 |
| NPI Number | 1932855442 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932855442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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