Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medical Home Alliance LLC

Organization Internal Medicine Physician · NPI 1417622853

Medical Home Alliance LLC is an Internal Medicine Physician in Lake Wales, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

684 State Road 60 W
Lake Wales, FL 33853-4419
Phone: (863) 949-4868
Fax: (863) 223-8549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1417622853
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedical Home Alliance LLC
Authorized official Vanessa Hourihan — Vp Of Revenue Cycle · (407) 845-0322
Other names Ima Medical Group - Lake Wales
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021
Mailing address6675 Westwood Blvd Ste 475, Orlando, FL 32821-6027

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