Ima West Tampa Dispensary
LBN: Medical Home Alliance Llc
Ima West Tampa Dispensary is an health care organization with primary practice located at 4700 N Habana Ave , Tampa FL 33614-7160. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty.
Medical Home Alliance Llc can be contacted via phone (813) 444-9599, or through Perez, Patricia D via phone (407) 845-0330.
Contact Information
Primary practice address
4700 N Habana Ave
Tampa FL 33614-7160
Phone: (813) 444-9599
Fax: (813) 513-8210
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Non-Pharmacy Dispensing Site | 332900000X | ACN515 | Florida |
Profile Details
NPI number | 1194239780 |
---|---|
LBN Legal business name | Medical Home Alliance Llc |
DBA Doing business as | Ima West Tampa Dispensary |
Authorized official | Perez, Patricia D |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 20th, 2017 |
Last updated | Nov 20th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194239780 | NPPES |
Florida | MEDICAID | 018418600 |
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