1194575902 NPI number — ALPPH MEDICAL SERVICES CORP

Table of content: DANA LORRAINE WEBB FNP (NPI 1477128593)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194575902 NPI number — ALPPH MEDICAL SERVICES CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALPPH MEDICAL SERVICES CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194575902
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/25/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7801 SW 132ND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PINECREST
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33156-6715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-759-9313
Provider Business Mailing Address Fax Number:
305-470-1853

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7801 SW 132ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PINECREST
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33156-6715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-759-9313
Provider Business Practice Location Address Fax Number:
305-470-1853
Provider Enumeration Date:
03/25/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LINARES PEREZ
Authorized Official First Name:
ARMANDO
Authorized Official Middle Name:
N
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
786-759-9313

Provider Taxonomy Codes

  • Taxonomy code: 207RH0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)