ALPHA MEDICAL CORPORATION NPI 1427477728

NPI Information

NPI: 1427477728
Provider Name: ALPHA MEDICAL CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D1004365

Address:
172 S SEMORAN BLVD
ORLANDO, FL
ZIP 32807
Phone: (407) 380-1951
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ALPHA MEDICAL CORPORATION is a primary care clinic center in Orlando, FL. ALPHA MEDICAL CORPORATION NPI is 1427477728. The provider is registered as an organization entity type.

The provider's business location address is:

172 S SEMORAN BLVD
ORLANDO, FL
ZIP 32807-293
Phone: (407) 380-1951

The provider's authorized official is Mark Ello .
The authorized official title is Owner and has the following contact phone number (407) 380-1951.

The CLIA number assigned to this NPI record is 10D1004365 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 4/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	FL0024030	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F53908	MEDICARE UPIN	FLORIDA
2	16913Y	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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