NPI 1033648233
Medical Home Alliance LLC
Practice location
- Address
- 199 Avenue K SE, Winter Haven, FL 33880-4002
- Phone
- (863) 299-6700
- Fax
- (863) 293-6359
- Mailing address
- 6675 Westwood Blvd STE 475, Orlando, FL 32821-6027
Authorised official
- Name
- Patricia Pichardo
- Title
- Coo
- Phone
- (407) 845-0330
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1033648233
- Entity type
- Organization
- NPI issued
- 9 Jun 2017
- Record last updated
- 13 Jun 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.