MEDICAL HOME ALLIANCE LLC (NPI# 1033648233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033648233 |
| Entity Type | Organization |
| Organization Name | MEDICAL HOME ALLIANCE LLC |
| Other Organization Name | IMA WINTER HAVEN DISPENSARY |
| Practice Address |
199 Avenue K Se Winter Haven FL 33880-4002 |
| Mailing Address |
6675 Westwood Blvd Ste 475 Orlando FL 32821-6027 |
| Practice Telephone | 8632996700 |
| Practice Fax Number | 8632936359 |
| Mailing Telephone | 4078450330 |
| Mailing Fax Number | 8889721752 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | PATRICIA PICHARDO (COO) |
| Authorized Official Telephone | 4078450330 |
| Is Organization Subpart | Y |
| Parent Organization Name | INHEALTH MD ALLIANCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| IMA Winter Haven Dispensary | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740527811 | Medical Home Alliance LLC | Internal Medicine | 6675 Westwood Blvd Ste 475, Orlando, FL 32821 | 2013-01-10 |
| 1194239780 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2017-11-20 |
| 1285163477 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 431 W Oak St, Kissimmee, FL 34741-6627 | 2017-06-09 |
| 1700315991 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 181 Webb Dr, Davenport, FL 33837-3964 | 2017-06-09 |
| 1609305804 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 7714 E Colonial Dr, Orlando, FL 32807-8422 | 2017-06-09 |
| 1235668435 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 1044 Plaza Dr, Kissimmee, FL 34743-4064 | 2017-06-09 |
| 1386173573 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 4725 Us Highway 98 S Ste 102, Lakeland, FL 33812-4334 | 2017-06-09 |
| Street Address |
199 AVENUE K SE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205804259 | Amarilys Colon Tirado | General Practice | 199 Avenue K Se, Winter Haven, FL 33880-4002 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346729068 | Central Florida Health Care Inc | Non-Pharmacy Dispensing Site | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2018-08-13 |
| 1093123838 | Tommy L Louisville Md Pa | Non-Pharmacy Dispensing Site | 320 1st St S, Winter Haven, FL 33880-3501 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on MEDICAL HOME ALLIANCE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.