MEDICAL HOME ALLIANCE LLC (NPI# 1609305804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609305804 |
| Entity Type | Organization |
| Organization Name | MEDICAL HOME ALLIANCE LLC |
| Other Organization Name | IMA COLONIAL DISPENSARY |
| Practice Address |
7714 E Colonial Dr Orlando FL 32807-8422 |
| Mailing Address |
6675 Westwood Blvd Orlando FL 32821-8061 |
| Practice Telephone | 4078450330 |
| Practice Fax Number | 8889721752 |
| Mailing Telephone | 4078450330 |
| Mailing Fax Number | 8889721752 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Authorized Official Name | PATRICIA PICHARDO (COO) |
| Authorized Official Telephone | 4078450330 |
| Is Organization Subpart | Y |
| Parent Organization Name | IN HEALTH MD ALLICANCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| IMA Colonial 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 |
| 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 |
7714 E COLONIAL DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32807-8422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461945 | Javier Antonio Rosario | General Practice | 7714 E Colonial Dr, Orlando, FL 32807-8422 | 2005-07-19 |
| 1518260454 | Aixa E Lajara | General Practice | 7714 E Colonial Dr, Orlando, FL 32807-8422 | 2010-12-15 |
| 1770647190 | Norali Hernandez-alonso | General Practice | 7714 E Colonial Dr, Orlando, FL 32807-8422 | 2006-12-20 |
| 1619051836 | Jorge Y Reyes Rosario | General Practice | 7714 E Colonial Dr, Orlando, FL 32807 | 2006-10-24 |
| 1013950682 | Maria De Las Mercedes Vazquez Torres | Emergency Medicine | 7714 E Colonial Dr, Orlando, FL 32807-8422 | 2006-06-13 |
| 1083654222 | Angel Manuel Cortes | General Practice | 7714 E Colonial Dr, Orlando, FL 32807-8422 | 2006-06-07 |
| 1134106248 | Sarah Rodriguez | Internal Medicine | 7714 E Colonial Dr, Orlando, FL 32807-8422 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922668037 | Javier Urshela | Rehabilitation Counselor | 1150 S Semoran Blvd Suite A, Orlando, FL 32807 | 2019-06-20 |
| 1326602087 | Darnell Maurice Avent | Counselor | 7835 Pine Crossing Circle, Apt: 1038, Orlando, FL 32807 | 2019-04-29 |
| 1689185233 | Janea Mark | Technician/Technologist | 2242 Gator Drive, 326, Orlando, FL 32807 | 2017-10-22 |
| 1659813863 | Yaritza Joan Mattei Collado | Speech-Language Pathologist | 1136 Farwell, Orlando, FL 32807 | 2016-11-07 |
| 1316495815 | Grimarie Fernandez | Counselor | 1601 N. Goldenrod Rd. Suite 2, A Great Life, Inc, Orlando, FL 32807 | 2016-09-14 |
| 1922473958 | Adam Brett Lowery | Counselor | 1400 Semoran Blvd, Orlando, FL 32807 | 2015-12-02 |
| 1396115093 | Peterson Jean-baptiste | Counselor | 7835 Pine Crossing Circle, Apt. 1027, Orlando, FL 32807 | 2015-10-07 |
| 1396121380 | Sonia Vega | Case Management | 1601 N. Goldenrod Rd., Orlando, FL 32807 | 2015-08-03 |
| 1386036069 | Guidewell Emergency Medicine Doctors | Clinic/Center | 1706 N Semoran Blvd, Orlando, FL 32807 | 2015-03-04 |
| 1821339276 | Cac- Florida Medical Centers LLC | Clinic/Center | 737 South Semoran Blvd, Orlando, FL 32807 | 2013-03-11 |
| Find all providers in zip 32807 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1508301870 | Cvs Pharmacy Inc | Non-Pharmacy Dispensing Site | 8201 Chancellor Dr, Orlando, FL 32809-7657 | 2016-12-22 |
| 1619390457 | Central Florida Internists Inc | Non-Pharmacy Dispensing Site | 431 N Kirkman Rd, Orlando, FL 32811-1105 | 2014-01-30 |
| 1841517778 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 630 North Bumby Ave., Orlando, FL 32803 | 2010-05-03 |
| 1780871798 | Adventist Health Systems Sunbelt | Non-Pharmacy Dispensing Site | 8014 Conroy-windermere Road, Suite 104, Orlando, FL 32835 | 2007-10-03 |
| 1649354275 | Pain Center of Orlando | Non-Pharmacy Dispensing Site | 225 W State Rd 434 205, Orlando, FL 32750 | 2006-10-24 |
| 1427681527 | Dedicated Senior Medical Centers of Florida, LLC | Non-Pharmacy Dispensing Site | 690 S Goldenrod Rd, Orlando, FL 32822-8108 | 2020-02-17 |
| 1417460668 | Mutual Family Health, LLC | Non-Pharmacy Dispensing Site | 8865 Commodity Cir, Orlando, FL 32819 | 2017-11-09 |
| 1508218496 | Dr. Mark Bornstein Wc Pharmacy | Non-Pharmacy Dispensing Site | 701 E Michigan St, Orlando, FL 32806-4623 | 2016-07-05 |
| 1174971683 | Orlando Family Pysicians, LLC | Non-Pharmacy Dispensing Site | 810 N Nowell St, Orlando, FL 32808-7539 | 2016-05-25 |
| Find all providers in ORLANDO | ||||
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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.