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MEDICAL HOME ALLIANCE LLC
NPI 1417622853
Internal Medicine in Lake Wales, FL

Active since August 09, 2021
684 STATE ROAD 60 W, LAKE WALES, FL 33853(863) 949-4868(863) 223-8549 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Home Alliance Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL HOME ALLIANCE LLC (NPI 1417622853), doing business as Ima Medical Group - Lake Wales, is a healthcare organization registered as an internal medicine in Lake Wales, Florida and active in the NPI registry since August 2021. The organization lists Vanessa Hourihan, Vp Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1417622853
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL HOME ALLIANCE LLC
Location Address684 STATE ROAD 60 WLake Wales, FL 33853-4419
Mailing Address6675 Westwood Blvd Ste 475Orlando, FL 32821-6027 · (407) 845-0330 · Fax (888) 972-1752
Phone(863) 949-4868
Fax(863) 223-8549
Organization SubpartYes
Authorized OfficialVanessa HourihanVp Of Revenue Cycle · (407) 845-0322
Enumeration DateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
✔ NPI 1417622853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
684 STATE ROAD 60 W, Lake Wales, FL 33853
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Other Names 1

Doing Business AsIma Medical Group - Lake Wales

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATASHA L FENELON APRN
Nurse Practitioner (Family)
684 STATE ROAD 60 W
LAKE WALES, FL 33853
Polk County (863) 949-4868
YAIRALIZ RODRIGUEZ GONZALEZ
General Practice
684 STATE ROAD 60 W
LAKE WALES, FL 33853
Polk County (863) 949-4868
DR. DANICE BLAISE MD,MBA
General Practice
684 STATE ROAD 60 W
LAKE WALES, FL 33853
Polk County (863) 949-4868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Home Alliance LLC's NPI number?

The NPI number for Medical Home Alliance LLC is 1417622853. It was assigned to this organization in the NPPES registry on August 9, 2021. The provider is doing business as IMA Medical Group - Lake Wales.

Where is Medical Home Alliance LLC located?

Medical Home Alliance LLC is located at 684 State Road 60 W, Lake Wales, FL 33853. The listed phone number is (863) 949-4868.

What is Medical Home Alliance LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Medical Home Alliance LLC was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.