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

Medical Home Alliance LLC

Organization Internal Medicine Physician · NPI 1740527811

Medical Home Alliance LLC is an Internal Medicine Physician in Davenport, Florida. Registered with an NPI since 2013.

In the registry since
2013
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

130 Ridge Center Dr Ste 104
Davenport, FL 33837-6414
Phone: (863) 421-9447
Fax: (863) 421-1806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1740527811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zeneida Tavarez — Credentialing Specialist · (917) 495-7496
NPI enumeratedJanuary 10, 2013
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address2675 Winkler Ave Ste 200, Fort Myers, FL 33901-9328

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