MEDICAL HOME ALLIANCE LLC
NPI 1740527811
Internal Medicine in Davenport, FL

Q: What is Medical Home Alliance LLC's NPI number?

The NPI number for Medical Home Alliance LLC is 1740527811. It was assigned to this organization in the NPPES registry on January 10, 2013.

Q: What is Medical Home Alliance LLC's specialty?

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

Active since January 10, 2013

130 RIDGE CENTER DR STE 104, DAVENPORT, FL 33837(863) 421-9447(863) 421-1806 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2025, Mar 29, 2021, Oct 23, 2018 and 1 more (4 updates tracked since 2018).

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About Medical Home Alliance Llc NPPES

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

MEDICAL HOME ALLIANCE LLC (NPI 1740527811) is a healthcare organization registered as an internal medicine in Davenport, Florida and active in the NPI registry since January 2013. The organization lists Zeneida Tavarez, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1740527811

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMEDICAL HOME ALLIANCE LLC

Location Address130 RIDGE CENTER DR STE 104Davenport, FL 33837-6414

Mailing Address2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328 · (877) 856-3774 · Fax (239) 599-2625

Phone(863) 421-9447

Fax(863) 421-1806

Organization SubpartNo

Authorized OfficialZeneida TavarezCredentialing Specialist · (917) 495-7496

Enumeration DateJanuary 10, 2013

Last NPPES UpdateFebruary 26, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2026

✔ NPI 1740527811 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.

130 RIDGE CENTER DR STE 104, Davenport, FL 33837

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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MEDICAL HOME ALLIANCE LLC

Internal Medicine