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Medical Home Alliance Llc
Non-Pharmacy Dispensing Site in Tampa, Florida
NPI 1194239780

Medical Home Alliance Llc is a Non-Pharmacy Dispensing Site based in Orlando, FL. Medical Home Alliance Llc practices in Tampa, FL. The NPI Number for Medical Home Alliance Llc is 1194239780 and holds a License No. ACN515 (Florida).

The current practice location address for Medical Home Alliance Llc is 4700 N Habana Ave, Tampa, FL and can be reached out via phone at 813-444-9599 and via fax at 813-513-8210.

Location: 4700 N Habana Ave, Tampa, FL, 32821-6027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194239780
Provider Name
Medical Home Alliance Llc
Credential
Provider Entity Type
Organization
Address
4700 N Habana Ave, Tampa, FL, 32821-6027
Phone Number
813-444-9599
Fax Number
813-513-8210
Provider Enumeration Date
11/20/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018418600 05 FL
institution
Provider Business Practice Location Address Details
Address
4700 N Habana Ave
City
Tampa
State
Florida
Zip
33614-7160
Phone Number
813-444-9599
Fax Number
813-513-8210
person
Provider Business Mailing Address Details
Address
4700 N Habana Ave
City
Tampa
State
Florida
Zip
33614-7160
Phone Number
813-444-9599
Fax Number
813-513-8210
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
ACN515 (Florida)
Definition
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.)
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