MEDICAL HOME ALLIANCE LLC (NPI# 1235668435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235668435 |
| Entity Type | Organization |
| Organization Name | MEDICAL HOME ALLIANCE LLC |
| Other Organization Name | IMA BVL DISPENSARY |
| Practice Address |
1044 Plaza Dr Kissimmee FL 34743-4064 |
| Mailing Address |
6675 Westwood Blvd Ste 475 Orlando FL 32821-6027 |
| Practice Telephone | 4078450330 |
| Practice Fax Number | 8889721752 |
| Mailing Telephone | 8078450330 |
| Mailing Fax Number | 8889721752 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Authorized Official Name | MRS. 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 BVL 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 |
| 1033648233 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 199 Avenue K Se, Winter Haven, FL 33880-4002 | 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 |
| 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 |
1044 PLAZA DR |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34743-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795654 | Mariel Pinero | General Practice | 1044 Plaza Dr, Kissimmee, FL 34743-4064 | 2005-07-22 |
| 1265672778 | Diego G Clavell Rivera | General Practice | 1044 Plaza Dr, Kissimmee, FL 34743-4064 | 2009-02-23 |
| 1952567216 | Ziolly S. Cortijo-cortes | General Practice | 1044 Plaza Dr, Kissimmee, FL 34743-4064 | 2008-08-05 |
| 1497859722 | Tania Falcon Rodriguez | Family Medicine | 1044 Plaza Dr, Kissimmee, FL 34743-4064 | 2006-09-08 |
| 1184647778 | Betzy Acevedo | General Practice | 1044 Plaza Dr, Kissimmee, FL 34743-4064 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740844711 | Orlando Health Services At Central Florida LLC | Nurse Practitioner | 2685 Maxwell Ct W, Kissimmee, FL 34743 | 2019-04-25 |
| 1104316751 | Melissa Lymari Martinez | Case Manager/Care Coordinator | 139 Puelba Ln, Kissimmee, FL 34743 | 2018-05-18 |
| 1083087886 | Brenda Torres | Social Worker | 2203 Gatwick Ct., Kissimmee, FL 34743 | 2015-11-03 |
| 1629473582 | Catalina Lasso | Counselor | 2005 Lacie Jo Ln, Kissimmee, FL 34743 | 2014-11-04 |
| 1114326584 | Alexandra Buxo | Social Worker | 2182 Cypress Bay Blvd, Kissimmee, FL 34743 | 2014-08-21 |
| 1558609040 | Ana Paula Machado Bernardi | Pharmacist | 2005 E Osceola Pkwy, Kissimmee, FL 34743 | 2013-01-18 |
| 1093075954 | Lynda A Gonsalves | Counselor | 220 N Lake Ct, Kissimmee, FL 34743 | 2012-05-24 |
| 1912264805 | Mario E Perez | Occupational Therapist | 2517 Hikers Ct, Kissimmee, FL 34743 | 2012-04-16 |
| 1003118555 | Alvaro Jose Altamirano | Family Medicine | 729 Buenaventura Blvd, Kissimmee, FL 34743 | 2010-12-02 |
| 1891929402 | Federico Nicholas | Physical Therapy Assistant | 1441 Fortune Rd, #256, Kissimmee, FL 34743 | 2009-05-11 |
| Find all providers in zip 34743 | ||||
| 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 |
|---|---|---|---|---|
| 1356767107 | Bvl Family Medical Center | Non-Pharmacy Dispensing Site | 2550 Simpson Rd, Kissimmee, FL 34744-4637 | 2014-03-17 |
| 1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
| 1336302413 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 3293 Greenwald Way North, Kissimmee, FL 34741 | 2008-07-08 |
| 1972798296 | Adventist Health System/sunbelt, Inc | Non-Pharmacy Dispensing Site | 4320 W. Vine Street, Kissimmee, FL 34746 | 2007-09-10 |
| 1194910414 | Adventist Health Systems Sunbelt | Non-Pharmacy Dispensing Site | 7848 W Irlo Bronson Hwy, Kissimmee, FL 34747-1729 | 2007-09-10 |
| 1366052102 | Doctors of Clinical Specialties LLC | Non-Pharmacy Dispensing Site | 801 W Oak St Ste 202, Kissimmee, FL 34741-6609 | 2020-08-06 |
| 1548750763 | Doctors' Pain Management Associates, LLC | Non-Pharmacy Dispensing Site | 825 E Oak St, Kissimmee, FL 34744-5838 | 2018-05-14 |
| 1285163477 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 431 W Oak St, Kissimmee, FL 34741-6627 | 2017-06-09 |
| 1285082792 | Orlando Family Physicians, LLC | Non-Pharmacy Dispensing Site | 1502 Village Oak Ln, Kissimmee, FL 34746-6592 | 2016-05-25 |
| 1609271808 | Orlando Family Medical Inc. | Non-Pharmacy Dispensing Site | 900 Towne Center Dr, Kissimmee, FL 34759-3470 | 2014-10-30 |
| Find all providers in KISSIMMEE | ||||
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| 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.